Organization Active NPI

Jinelle Andujar DMD PA

Doing business as SoBe Smiles

  • Dental Clinic/Center
  • Miami Beach, FL
National Provider Identifier
1164919205
Registry record updated Apr 14, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
License
DN22191 Issued in FL
Legal business name
JINELLE ANDUJAR DMD PA
Doing business as
SoBe Smiles
Practice address
830 Washington Ave
Miami Beach, FL 33139-5803
Phone
(305) 531-0063
NPI assigned
Apr 14, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 14, 2018

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

Authorized official

Name
Dr. Jinelle Andujar, DMDNPI 1558767400
Title
Dentist
Phone
(201) 214-0497

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
Dental Clinic/Center 261QD0000X DN22191 FL Primary

Addresses

Primary practice location

830 Washington Ave
Miami Beach, FL 33139-5803

Mailing address

800 West Ave Apt 338
Miami Beach, FL 33139-5530
Phone (201) 214-0497

Other names 1

  • SoBe Smiles Doing business as

National Provider Directory

National Provider Directory

Locations

830 Washington Ave
Miami Beach, FL 33139
Phone (305) 531-0063

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1523664000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1523664000000",
    "number": "1164919205",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "800 WEST AVE APT 338",
            "city": "MIAMI BEACH",
            "state": "FL",
            "postal_code": "331395530",
            "telephone_number": "201-214-0497"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "830 WASHINGTON AVE",
            "city": "MIAMI BEACH",
            "state": "FL",
            "postal_code": "331395803",
            "telephone_number": "305-531-0063"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JINELLE ANDUJAR DMD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-04-14",
        "last_updated": "2018-04-14",
        "status": "A",
        "authorized_official_last_name": "ANDUJAR",
        "authorized_official_first_name": "JINELLE",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "201-214-0497",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "FL",
            "license": "DN22191",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SoBe Smiles",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "SoBe Smiles",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Miami Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 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.