Active NPI
Miami Dental Group West Kendall PA
- Dental Clinic/Center
- Miami, FL
National Provider Identifier
1154918498
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dental Clinic/Center
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Dentist
- Miami Lakes, FL
- NPI 1932767423
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
- Miami Dade Pharmacy Discount Inc
- Miami Dade Primary Care LLC
- Miami Dade Urgent Care Corp
- Miami Dental Associates
- Miami Dental Care
- Miami Dental Lab Associates,Inc
- Miami Dermatology and Aesthetic Center, LLC
- Miami Dermatology and Mohs Surgery, PLLC
- Miami Dermatology and Surgery, LLC
- Miami Diagnostic & Psychiatric Center
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.