NPIMap

Organization Active NPI

Gables Family Dental, Inc.

  • Prosthodontics
  • Coral Gables, FL
National Provider Identifier
1194953950
Registry record updated Jun 30, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
ProsthodonticsTaxonomy code 1223P0700X
License
DN14672 Issued in FL
Legal business name
GABLES FAMILY DENTAL, INC.
Practice address
2990 Coral Way
Coral Gables, FL 33145-3206
Phone
(305) 529-9295
Fax
(305) 529-2551
NPI assigned
Jun 30, 2009
Organization subpart
Yes
Parent organization
GABLES SMILE & COSMETIC DENTISTRY, INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Jun 30, 2009

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

Authorized official

Name
Dr. Elias Tobon, D.M.D.
Title
President
Phone
(305) 529-9295

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ProsthodonticsGroup: 193200000X MULTI-SPECIALTY GROUP 1223P0700X DN14672 FL Primary

Addresses

Primary practice location

2990 Coral Way
Coral Gables, FL 33145-3206

Mailing address

2990 Coral Way
Coral Gables, FL 33145-3206
Phone (305) 529-9295

National Provider Directory

National Provider Directory

Locations

2990 Coral Way
Miami, FL 33145
Phone (305) 529-9295

Practitioners & affiliated clinicians

Practitioners 5

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

NPI Registry JSON

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

{
    "created_epoch": "1246320000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1246320000000",
    "number": "1194953950",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2990 CORAL WAY",
            "city": "CORAL GABLES",
            "state": "FL",
            "postal_code": "331453206",
            "telephone_number": "305-529-9295",
            "fax_number": "305-529-2551"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2990 CORAL WAY",
            "city": "CORAL GABLES",
            "state": "FL",
            "postal_code": "331453206",
            "telephone_number": "305-529-9295",
            "fax_number": "305-529-2551"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GABLES FAMILY DENTAL, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "GABLES SMILE & COSMETIC DENTISTRY, INC.",
        "enumeration_date": "2009-06-30",
        "last_updated": "2009-06-30",
        "status": "A",
        "authorized_official_last_name": "TOBON",
        "authorized_official_first_name": "ELIAS",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "305-529-9295",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.M.D."
    },
    "taxonomies": [
        {
            "code": "1223P0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Prosthodontics",
            "state": "FL",
            "license": "DN14672",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Coral Gables, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2009; 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.