Organization Active NPI

Miami Dental Group West Kendall PA

  • Dental Clinic/Center
  • Miami, FL
National Provider Identifier
1154918498
Registry record updated Dec 21, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
MIAMI DENTAL GROUP WEST KENDALL PA
Practice address
2648 SW 137TH Ave
Miami, FL 33175-6314
Phone
(305) 551-1309
Fax
(305) 551-1303
NPI assigned
Dec 21, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 21, 2020

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

Authorized official

Name
Danny Pena, DMD
Title
Owner/Dentist
Phone
(305) 271-0160

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X Primary

Addresses

Primary practice location

2648 SW 137TH Ave
Miami, FL 33175-6314

Mailing address

7755 SW 87TH Ave Ste 120
Miami, FL 33173-2534
Phone (305) 271-0160

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1608508800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1608508800000",
    "number": "1154918498",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7755 SW 87TH AVE STE 120",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331732534",
            "telephone_number": "305-271-0160",
            "fax_number": "305-271-4111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2648 SW 137TH AVE",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331756314",
            "telephone_number": "305-551-1309",
            "fax_number": "305-551-1303"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIAMI DENTAL GROUP WEST KENDALL PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-12-21",
        "last_updated": "2020-12-21",
        "certification_date": "2020-12-21",
        "status": "A",
        "authorized_official_last_name": "PENA",
        "authorized_official_first_name": "DANNY",
        "authorized_official_title_or_position": "OWNER/DENTIST",
        "authorized_official_telephone_number": "305-271-0160",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Dec 21, 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.