Individual provider Active NPI

Marianne Beatriz Cardenas, DMD

  • Pediatric Dentistry
  • Boca Raton, FL
National Provider Identifier
1164988374
Registry record updated Nov 4, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
License
DN25695 Issued in FL
Practice address
7301 W Palmetto Park Rd Ste 203B
Boca Raton, FL 33433-3456
Phone
(561) 391-6066
NPI assigned
Feb 12, 2019
Last updated
Nov 4, 2021By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 4, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Dentistry 1223P0221X DN25695 FL Primary

Addresses

Primary practice location

7301 W Palmetto Park Rd Ste 203B
Boca Raton, FL 33433-3456

Mailing address

1674 SW 131St Place Cir E
Miami, FL 33175-1205
Phone (305) 781-3311

Other practice location 1

3601 NW 107th Ave Fl 3
Doral, FL 33178-4377
Phone (305) 418-7771

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
DN25695FLMDPediatric Dentist

Practice roles

OrganizationSpecialtyStatusNew patients
Nicklaus Children's Hospital Student in an Organized Health Care Education/Training Program PastSince Feb 2, 2025 Accepting new patients
Miami Children's Hospital Pediatric Dentistry Past Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1549929600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1635984000000",
    "number": "1164988374",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1674 SW 131ST PLACE CIR E",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331751205",
            "telephone_number": "305-781-3311"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7301 W PALMETTO PARK RD STE 203B",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334333456",
            "telephone_number": "561-391-6066"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3601 NW 107th Ave Fl 3",
            "address_purpose": "LOCATION",
            "city": "Doral",
            "state": "FL",
            "postal_code": "331784377",
            "country_code": "US",
            "telephone_number": "305-418-7771",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CARDENAS",
        "first_name": "MARIANNE",
        "middle_name": "BEATRIZ",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-02-12",
        "last_updated": "2021-11-04",
        "certification_date": "2021-11-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "FL",
            "license": "DN25695",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boca Raton, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2021; 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.