Individual provider Active NPI

Maria Elena Regalado

  • General Practice Dentistry
  • Miami, FL
National Provider Identifier
1144601691
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DN22895 Issued in FL
Practice address
2460 SW 137TH Ave
Miami, FL 33175-8803
Phone
(305) 553-2618
Fax
(305) 559-7989
NPI assigned
Jun 10, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X DN22895 FL Primary

Addresses

Primary practice location

2460 SW 137TH Ave
Miami, FL 33175-8803

Mailing address

16275 SW 81St St
Miami, FL 33193-5101
Phone (305) 600-9728

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260422000545 FL Practitioner - Dentist 5799252292 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Dentist
Education
University of Miami, LM Miller School of Medicine, 2017
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

16275 SW 81St St
Miami, FL 33193-5101

2460 SW 137TH Ave
Miami, FL 33175-6321

25300 SW 115TH CT
Homestead, FL 33032-4723

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DN22895FLMDGeneral Practice Dentistry

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1433894400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1144601691",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16275 SW 81ST ST",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331935101",
            "telephone_number": "305-600-9728"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2460 SW 137TH AVE",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331758803",
            "telephone_number": "305-553-2618",
            "fax_number": "305-559-7989"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REGALADO",
        "first_name": "MARIA",
        "middle_name": "ELENA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-06-10",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "FL",
            "license": "DN22895",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

Verify at the official NPI Registry.