Individual provider Active NPI

Belen Natalia Vimo, DDS

  • Dentist
  • Miami, FL
National Provider Identifier
1144879925
Registry record updated Nov 30, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
DN24393 Issued in FL
Practice address
1 Glen Royal Pkwy
Miami, FL 33125-5287
Phone
(305) 847-9915
Fax
(954) 953-1417
NPI assigned
Sep 5, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 30, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X DN24393 FL Primary

Addresses

Primary practice location

1 Glen Royal Pkwy
Miami, FL 33125-5287

Mailing address

4358 N Federal Hwy
Ft Lauderdale, FL 33308-5208
Phone (754) 265-7845

Other practice location 1

4358 N Federal Hwy
Ft Lauderdale, FL 33308-5208
Phone (754) 265-7845

Other practice location 2

4500 NW 7th St
Miami, FL 33126-2307
Phone (305) 443-9206

Other practice location 3

8300 W Flagler St Ste 210
Miami, FL 33144-6002
Phone (786) 534-2796

Other practice location 4

266 E 49th St
Hialeah, FL 33013-1855
Phone (305) 823-9982

Other practice location 5

4410 W 16th Ave Ste 58
Hialeah, FL 33012-7194
Phone (305) 826-5224

Other practice location 6

5190 NW 167th St Ste 109
Miami Lakes, FL 33014-6329
Phone (786) 507-3458

Other practice location 7

4358 N Federal Hwy
Ft Lauderdale, FL 33308-5208
Phone (954) 982-7645

Other practice location 8

680 N University Dr
Pembroke Pines, FL 33024-6738
Phone (954) 982-7645

Other practice location 9

13768 SW 8th St
Miami, FL 33184-3030
Phone (786) 501-2163

Other practice location 10

3825 W 16th Ave
Hialeah, FL 33012-7005
Phone (786) 501-2166

Other practice location 11

6801 SW 8th St
Miami, FL 33144-4742
Phone (786) 501-2168

Other practice location 12

4144 N Armenia Ave Ste 150
Tampa, FL 33607-6445
Phone (813) 575-1635

Other practice location 13

807 S Parsons Ave
Brandon, FL 33511-6063
Phone (813) 527-0245

Other practice location 14

1507 N John Young Pkwy
Kissimmee, FL 34741-3214
Phone (407) 606-8012

Other practice location 15

1 Glen Royal Pkwy
Miami, FL 33125-5287
Phone (305) 847-9915

Other identifiers 1

IdentifierTypeStateIssuer
V500074916910OtherFLFL DRIVERS LICENSE

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
DN24393FLMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Dental Group of Miami PA Dentist Past Accepting new patients
Jose Calvo DDS PA Dentist Past Accepting new patients
High Cosmetic Dentistry LLC PastSince Feb 11, 2024 Accepting new patients
Dental Cosmetic Miami LLC PastSince Dec 10, 2023 Accepting new patients

Organizations & group practices 4

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": "1567641600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1606694400000",
    "number": "1144879925",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4358 N FEDERAL HWY",
            "city": "FT LAUDERDALE",
            "state": "FL",
            "postal_code": "333085208",
            "telephone_number": "754-265-7845"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 GLEN ROYAL PKWY",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331255287",
            "telephone_number": "305-847-9915",
            "fax_number": "954-953-1417"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4358 N Federal Hwy",
            "address_purpose": "LOCATION",
            "city": "Ft Lauderdale",
            "state": "FL",
            "postal_code": "333085208",
            "country_code": "US",
            "telephone_number": "754-265-7845",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4500 NW 7th St",
            "address_purpose": "LOCATION",
            "city": "Miami",
            "state": "FL",
            "postal_code": "331262307",
            "country_code": "US",
            "telephone_number": "305-443-9206",
            "fax_number": "954-953-1417",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "8300 W Flagler St Ste 210",
            "address_purpose": "LOCATION",
            "city": "Miami",
            "state": "FL",
            "postal_code": "331446002",
            "country_code": "US",
            "telephone_number": "786-534-2796",
            "fax_number": "954-953-1417",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "266 E 49th St",
            "address_purpose": "LOCATION",
            "city": "Hialeah",
            "state": "FL",
            "postal_code": "330131855",
            "country_code": "US",
            "telephone_number": "305-823-9982",
            "fax_number": "954-953-1417",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4410 W 16th Ave Ste 58",
            "address_purpose": "LOCATION",
            "city": "Hialeah",
            "state": "FL",
            "postal_code": "330127194",
            "country_code": "US",
            "telephone_number": "305-826-5224",
            "fax_number": "954-953-1417",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5190 NW 167th St Ste 109",
            "address_purpose": "LOCATION",
            "city": "Miami Lakes",
            "state": "FL",
            "postal_code": "330146329",
            "country_code": "US",
            "telephone_number": "786-507-3458",
            "fax_number": "954-953-1417",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4358 N Federal Hwy",
            "address_purpose": "LOCATION",
            "city": "Ft Lauderdale",
            "state": "FL",
            "postal_code": "333085208",
            "country_code": "US",
            "telephone_number": "954-982-7645",
            "fax_number": "954-953-1417",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "680 N University Dr",
            "address_purpose": "LOCATION",
            "city": "Pembroke Pines",
            "state": "FL",
            "postal_code": "330246738",
            "country_code": "US",
            "telephone_number": "954-982-7645",
            "fax_number": "954-953-1417",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "13768 SW 8th St",
            "address_purpose": "LOCATION",
            "city": "Miami",
            "state": "FL",
            "postal_code": "331843030",
            "country_code": "US",
            "telephone_number": "786-501-2163",
            "fax_number": "954-953-1417",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3825 W 16th Ave",
            "address_purpose": "LOCATION",
            "city": "Hialeah",
            "state": "FL",
            "postal_code": "330127005",
            "country_code": "US",
            "telephone_number": "786-501-2166",
            "fax_number": "954-953-1417",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6801 SW 8th St",
            "address_purpose": "LOCATION",
            "city": "Miami",
            "state": "FL",
            "postal_code": "331444742",
            "country_code": "US",
            "telephone_number": "786-501-2168",
            "fax_number": "954-953-1417",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4144 N Armenia Ave Ste 150",
            "address_purpose": "LOCATION",
            "city": "Tampa",
            "state": "FL",
            "postal_code": "336076445",
            "country_code": "US",
            "telephone_number": "813-575-1635",
            "fax_number": "954-953-1417",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "807 S Parsons Ave",
            "address_purpose": "LOCATION",
            "city": "Brandon",
            "state": "FL",
            "postal_code": "335116063",
            "country_code": "US",
            "telephone_number": "813-527-0245",
            "fax_number": "954-953-1417",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1507 N John Young Pkwy",
            "address_purpose": "LOCATION",
            "city": "Kissimmee",
            "state": "FL",
            "postal_code": "347413214",
            "country_code": "US",
            "telephone_number": "407-606-8012",
            "fax_number": "954-953-1417",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1 Glen Royal Pkwy",
            "address_purpose": "LOCATION",
            "city": "Miami",
            "state": "FL",
            "postal_code": "331255287",
            "country_code": "US",
            "telephone_number": "305-847-9915",
            "fax_number": "954-953-1417",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VIMO",
        "first_name": "BELEN",
        "middle_name": "NATALIA",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-09-05",
        "last_updated": "2020-11-30",
        "certification_date": "2020-11-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "FL",
            "license": "DN24393",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FL DRIVERS LICENSE",
            "identifier": "V500074916910",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 2020; 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.