Active NPI
Danielle Alicia Beaudoin, DDS
- Pediatric Dentistry
- Cutler Bay, FL
National Provider Identifier
1194208280
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Dentistry
- License
- DN28670
- Practice address
- 20335 Old Cutler Rd Ste 200
Cutler Bay, FL 33189-1800 - Phone
- (866) 040-2947
- NPI assigned
- Sep 13, 2018
- Last updated
- Nov 9, 2023
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 6926 | LA | |
| Pediatric Dentistry | 1223P0221X | 6926 | LA | |
| Pediatric Dentistry | 1223P0221X | DN28670 | FL | Primary |
Addresses
Primary practice location
20335 Old Cutler Rd Ste 200
Cutler Bay, FL 33189-1800
Mailing address
20335 Old Cutler Rd Ste 200
Cutler Bay, FL 33189-1800
Phone (786) 604-0294
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
| License | State | Type | Specialty |
|---|---|---|---|
| 6926 | LA | MD | Professional Counselor |
| DN28670 | FL | MD | Pediatric Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1536796800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1699488000000",
"number": "1194208280",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "20335 OLD CUTLER RD STE 200",
"city": "CUTLER BAY",
"state": "FL",
"postal_code": "331891800",
"telephone_number": "786-604-0294"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "20335 OLD CUTLER RD STE 200",
"city": "CUTLER BAY",
"state": "FL",
"postal_code": "331891800",
"telephone_number": "866-040-2947"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BEAUDOIN",
"first_name": "DANIELLE",
"middle_name": "ALICIA",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-09-13",
"last_updated": "2023-11-09",
"certification_date": "2023-11-09",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "LA",
"license": "6926",
"primary": false
},
{
"code": "1223P0221X",
"taxonomy_group": "",
"desc": "Dentist, Pediatric Dentistry",
"state": "LA",
"license": "6926",
"primary": false
},
{
"code": "1223P0221X",
"taxonomy_group": "",
"desc": "Dentist, Pediatric Dentistry",
"state": "FL",
"license": "DN28670",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Cutler Bay, FL
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- Maribel Baute, CBHCM
- Enay Manuel Bazo Jacomino
- Be Kind ABA Inc (Isa Medical Group)
- Erlande Beaubrun, RN
- Beautiful Minds Health Care Facilities LLC
- Damian Antonio Bechara
- Bee Pain Free Medical Center
- Begin Strong Corp
- Behavior and Mental Health Services of South Florida LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.