Healthy Family Dental Inc

Primary specialty

DentistTaxonomy code 122300000X

License

DN20258 Issued in FL

Legal business name

HEALTHY FAMILY DENTAL INC

Practice address

5376 W 16TH Ave
Hialeah, FL 33012-2165

Phone

(305) 231-7477

NPI assigned

Jun 10, 2016

Organization subpart

No

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

Authorized official

Name

Renate Manns

Title

Cfo

Phone

(305) 231-7477

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1465516800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1465516800000",
    "number": "1184073009",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5376 W 16TH AVE",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330122165",
            "telephone_number": "305-231-7477"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5376 W 16TH AVE",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330122165",
            "telephone_number": "305-231-7477"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEALTHY FAMILY DENTAL INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-06-10",
        "last_updated": "2016-06-10",
        "status": "A",
        "authorized_official_last_name": "MANNS",
        "authorized_official_first_name": "RENATE",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "305-231-7477"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "FL",
            "license": "DN20258",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DENTAL LIC",
            "identifier": "DN20258",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Dentist in Hialeah, FL
• Providers in Hialeah, FL by specialty
• Dentist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2016; 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.