Individual provider Active NPI

Christian Montenegro Valor, DMD

  • General Practice Dentistry
  • Hialeah, FL
National Provider Identifier
1144714445
Registry record updated Jun 19, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
23402 Issued in FL
Practice address
1665 W 49TH St Ste 1484
Hialeah, FL 33012-2957
Phone
(305) 828-7779
Fax
(305) 828-7651
NPI assigned
Jun 19, 2018
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 19, 2018

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 23402 FL Primary

Addresses

Primary practice location

1665 W 49TH St Ste 1484
Hialeah, FL 33012-2957

Mailing address

52 SW 81St Ave
Miami, FL 33144-2128
Phone (786) 326-0634

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
23402FLMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Westland Mall Dental, PA General Practice Past Accepting new patients

Networks

  • Freedom Health HMO Network

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": "1529366400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1529366400000",
    "number": "1144714445",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "52 SW 81ST AVE",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331442128",
            "telephone_number": "786-326-0634"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1665 W 49TH ST STE 1484",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330122957",
            "telephone_number": "305-828-7779",
            "fax_number": "305-828-7651"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MONTENEGRO VALOR",
        "first_name": "CHRISTIAN",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-06-19",
        "last_updated": "2018-06-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "FL",
            "license": "23402",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hialeah, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 2018; 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.