Organization Active NPI

Homestead Family Dental Care, Inc

Doing business as Homestead Family Dental Care

  • General Practice Dentistry
  • Homestead, FL
National Provider Identifier
1144615071
Registry record updated Mar 30, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DN-19770 Issued in FL
Legal business name
HOMESTEAD FAMILY DENTAL CARE, INC
Doing business as
Homestead Family Dental Care
Practice address
809 NE 4TH Ave
Homestead, FL 33030-4720
Phone
(786) 222-4867
NPI assigned
Mar 30, 2015
Last updated
Mar 30, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 30, 2015

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

Authorized official

Name
Daynet Hernandez, DDSNPI 1336469121
Title
President
Phone
(786) 222-4867

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X DN-19770 FL Primary

Addresses

Primary practice location

809 NE 4TH Ave
Homestead, FL 33030-4720

Mailing address

13780 SW 38TH St
Miami, FL 33175-6453
Phone (786) 222-4867

Other names 1

  • Homestead Family Dental Care Doing business as

National Provider Directory

National Provider Directory

Locations

809 NE 4th Ave
Homestead, FL 33030
Phone (305) 248-3961

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1427673600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1427673600000",
    "number": "1144615071",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13780 SW 38TH ST",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331756453",
            "telephone_number": "786-222-4867"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "809 NE 4TH AVE",
            "city": "HOMESTEAD",
            "state": "FL",
            "postal_code": "330304720",
            "telephone_number": "786-222-4867"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOMESTEAD FAMILY DENTAL CARE, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-03-30",
        "last_updated": "2015-03-30",
        "status": "A",
        "authorized_official_last_name": "HERNANDEZ",
        "authorized_official_first_name": "DAYNET",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "786-222-4867",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "FL",
            "license": "DN-19770",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Homestead Family Dental Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Homestead, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.