Henao and Associates Dental Group

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DN 17090 Issued in FL

Legal business name

HENAO AND ASSOCIATES DENTAL GROUP

Practice address

18300 NW 62ND Ave
Suite 120
Hialeah, FL 33015-8200

Phone

(305) 570-1777

NPI assigned

Sep 24, 2014

Organization subpart

No

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

Authorized official

Name

Gloria Henao, DDS

Title

Dentist/Owner

Phone

(305) 570-1777

Specialties & licenses 1

Addresses

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Sandy G. Goldenberg, D.M.D

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Boca Raton, FL
  • NPI 1184819682
  NPD (past)
• Karolina Rincon, DMD

  • General Practice Dentistry
  • Winter Springs, FL
  • NPI 1790293595
  NPD (past)

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

{
    "created_epoch": "1411516800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1411516800000",
    "number": "1174925903",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18300 NW 62ND AVE",
            "address_2": "SUITE 120",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330158200",
            "telephone_number": "305-570-1777"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18300 NW 62ND AVE",
            "address_2": "SUITE 120",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330158200",
            "telephone_number": "305-570-1777"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HENAO AND ASSOCIATES DENTAL GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-09-24",
        "last_updated": "2014-09-24",
        "status": "A",
        "authorized_official_last_name": "HENAO",
        "authorized_official_first_name": "GLORIA",
        "authorized_official_title_or_position": "DENTIST/OWNER",
        "authorized_official_telephone_number": "305-570-1777",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "FL",
            "license": "DN 17090",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• General Practice Dentistry in Hialeah, FL
• Providers in Hialeah, FL by specialty
• General Practice Dentistry in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2014; 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.