Active NPI
North Kendall Dentists PA
- Dentist
- Miami, FL
National Provider Identifier
1194424309
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- Legal business name
- NORTH KENDALL DENTISTS PA
- Practice address
- 12022 SW 88TH St
Miami, FL 33186-2002 - Phone
- (786) 623-5056
- NPI assigned
- Feb 27, 2023
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Minh B Pham
- Title
- DDS/Owner
- Phone
- (786) 623-5056
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | Primary |
Addresses
Primary practice location
12022 SW 88TH St
Miami, FL 33186-2002
Mailing address
PO Box 920050
Dallas, TX 75392-0050
Other names 1
- NORTH KENDALL DENTISTS
National Provider Directory
National Provider DirectoryLocations
12022 SW 88th St
Miami, FL 33186
Phone (786) 623-5056
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Dentist
- Miami, FL
- NPI 1265261028
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1677456000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1677456000000",
"number": "1194424309",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 920050",
"city": "DALLAS",
"state": "TX",
"postal_code": "753920050"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12022 SW 88TH ST",
"city": "MIAMI",
"state": "FL",
"postal_code": "331862002",
"telephone_number": "786-623-5056"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "NORTH KENDALL DENTISTS PA",
"organizational_subpart": "NO",
"enumeration_date": "2023-02-27",
"last_updated": "2023-02-27",
"certification_date": "2023-02-27",
"status": "A",
"authorized_official_last_name": "PHAM",
"authorized_official_first_name": "MINH",
"authorized_official_middle_name": "B",
"authorized_official_title_or_position": "DDS/OWNER",
"authorized_official_telephone_number": "786-623-5056"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Dentist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "NORTH KENDALL DENTISTS",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Miami, FL
- North Gables Foot Clinic
- North Gables Foot Clinic
- North Gables Foot Clinic Inc
- North Gables Foot Clinic Inc
- North K Medical Supply Corp
- North Miami Foundation for Senior Citizens Services,Inc.
- North Miami Holistic Wellness Center, Inc.
- North Miami Kidney Center, LLC
- North Miami Pediatrics, PA
- North Shore Anesthesiology Partners LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 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.