NPIMap

Organization Active NPI

Maigrely Abreu-Hernandez, DMD

Doing business as Casa Smiles Pediatric Dentistry and Orthodontics

  • Pediatric Dentistry
  • Coral Gables, FL
National Provider Identifier
1205180445
Registry record updated Dec 13, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
Legal business name
MAIGRELY ABREU-HERNANDEZ, DMD
Doing business as
Casa Smiles Pediatric Dentistry and Orthodontics
Practice address
5965 Ponce de Leon Blvd
Coral Gables, FL 33146-2436
Phone
(305) 662-7702
Fax
(305) 662-2552
NPI assigned
Nov 8, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 13, 2012

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

Authorized official

Name
Dr. Maigrely Abreu-Hernandez, DMDNPI 1891993101
Title
Owner
Phone
(305) 662-7702

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric DentistryGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 1223P0221X Primary

Addresses

Primary practice location

5965 Ponce de Leon Blvd
Coral Gables, FL 33146-2436

Mailing address

5965 Ponce de Leon Blvd
Coral Gables, FL 33146-2436
Phone (305) 662-7702

Other identifiers 1

IdentifierTypeStateIssuer
0014724-00MedicaidFL

Other names 1

  • Casa Smiles Pediatric Dentistry and Orthodontics Doing business as

National Provider Directory

National Provider Directory

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": "1352332800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1355356800000",
    "number": "1205180445",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5965 PONCE DE LEON BLVD",
            "city": "CORAL GABLES",
            "state": "FL",
            "postal_code": "331462436",
            "telephone_number": "305-662-7702",
            "fax_number": "305-662-2552"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5965 PONCE DE LEON BLVD",
            "city": "CORAL GABLES",
            "state": "FL",
            "postal_code": "331462436",
            "telephone_number": "305-662-7702",
            "fax_number": "305-662-2552"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAIGRELY ABREU-HERNANDEZ, DMD",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-11-08",
        "last_updated": "2012-12-13",
        "status": "A",
        "authorized_official_last_name": "ABREU-HERNANDEZ",
        "authorized_official_first_name": "MAIGRELY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "305-662-7702",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0014724-00",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Casa Smiles Pediatric Dentistry and Orthodontics",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Dec 13, 2012; 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.