Organization Active NPI

K & K Dental Associates

  • Dentist
  • Doral, FL
National Provider Identifier
1164850442
Registry record updated Oct 23, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
DN 19261 Issued in FL
Legal business name
K & K DENTAL ASSOCIATES
Practice address
2600 NW 87TH Ave
Suite 29
Doral, FL 33172-1621
Phone
(305) 225-5050
Fax
(305) 593-8825
NPI assigned
Oct 23, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 23, 2013

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

Authorized official

Name
Dr. Katty Iglesias, DMDNPI 1063717734
Title
Owner
Phone
(305) 225-5050

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
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X DN 19261 FL Primary

Addresses

Primary practice location

2600 NW 87TH Ave
Suite 29
Doral, FL 33172-1621

Mailing address

2600 NW 87TH Ave
Suite 29
Doral, FL 33172-1621
Phone (305) 225-5050

National Provider Directory

National Provider Directory

Locations

2600 NW 87th Ave
Ste 29
Doral, FL 33172
Phone (305) 225-5050

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": "1382486400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1382486400000",
    "number": "1164850442",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2600 NW 87TH AVE",
            "address_2": "SUITE 29",
            "city": "DORAL",
            "state": "FL",
            "postal_code": "331721621",
            "telephone_number": "305-225-5050",
            "fax_number": "305-593-8825"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2600 NW 87TH AVE",
            "address_2": "SUITE 29",
            "city": "DORAL",
            "state": "FL",
            "postal_code": "331721621",
            "telephone_number": "305-225-5050",
            "fax_number": "305-593-8825"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "K & K DENTAL ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-10-23",
        "last_updated": "2013-10-23",
        "status": "A",
        "authorized_official_last_name": "IGLESIAS",
        "authorized_official_first_name": "KATTY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "305-225-5050",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "FL",
            "license": "DN 19261",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Doral, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2013; 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.