Individual provider Active NPI

Eli Chayim Oppenheimer, DMD

  • Oral and Maxillofacial Surgery (Dentist)
  • Miami Beach, FL
National Provider Identifier
1174866339
Registry record updated Jul 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X
License
DN20155 Issued in FL
Practice address
4213 Nautilus Dr
Miami Beach, FL 33140-2821
Phone
(786) 390-8042
NPI assigned
Apr 5, 2013
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 12, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Oral and Maxillofacial Surgery (Dentist) 1223S0112X DN20155 FL Primary

Addresses

Primary practice location

4213 Nautilus Dr
Miami Beach, FL 33140-2821

Mailing address

4213 Nautilus Dr
Miami Beach, FL 33140-2821
Phone (786) 390-8042

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20181207001940 FL Order and Referring Only - Maxillofacial SurgeryPractitioner - Maxillofacial Surgery 8224372875

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Eli Oppenheimer DMD PLLC Oral and Maxillofacial Surgery CurrentSince Jul 21, 2024 Accepting new patients
Bal Harbour Oral and Facial Surgery LLC Oral and Maxillofacial Surgery CurrentSince Feb 1, 2022 Accepting new patients

Locations

3220 Stirling Rd
Hollywood, FL 33021
Phone (786) 384-6455

260 95th St
Ste 209
Surfside, FL 33154
Phone (305) 866-8290

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": "1365120000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1720742400000",
    "number": "1174866339",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4213 NAUTILUS DR",
            "city": "MIAMI BEACH",
            "state": "FL",
            "postal_code": "331402821",
            "telephone_number": "786-390-8042"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4213 NAUTILUS DR",
            "city": "MIAMI BEACH",
            "state": "FL",
            "postal_code": "331402821",
            "telephone_number": "786-390-8042"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OPPENHEIMER",
        "first_name": "ELI",
        "middle_name": "CHAYIM",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-04-05",
        "last_updated": "2024-07-12",
        "certification_date": "2024-07-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "FL",
            "license": "DN20155",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami Beach, FL

Sources for this page

Verify at the official NPI Registry.