Organization Active NPI

Advanced Endodontic Group

  • Endodontics
  • Miami Lakes, FL
National Provider Identifier
1205377488
Registry record updated Feb 8, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
EndodonticsTaxonomy code 1223E0200X
License
DN18918 Issued in FL
Legal business name
ADVANCED ENDODONTIC GROUP
Practice address
7975 NW 154TH St
#250
Miami Lakes, FL 33016-5863
Phone
(305) 615-6300
Fax
(305) 330-9902
NPI assigned
Mar 20, 2017
Last updated
Feb 8, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 8, 2022

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

Authorized official

Name
Dr. Ingrid Epelman Dorra, D.D.SNPI 1447580469
Title
Owner
Phone
(786) 488-0335

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
EndodonticsGroup: 193400000X SINGLE SPECIALTY GROUP 1223E0200X DN18918 FL Primary

Addresses

Primary practice location

7975 NW 154TH St
#250
Miami Lakes, FL 33016-5863

Mailing address

16426 NE 32ND Ave
North Miami Beach, FL 33160-4138
Phone (305) 615-6300

National Provider Directory

National Provider Directory
Tax ID family
Advanced Endodontic Group2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

7975 NW 154th St
Ste 250
Miami Lakes, FL 33016
Phone (305) 615-6300

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1489968000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1644278400000",
    "number": "1205377488",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16426 NE 32ND AVE",
            "city": "NORTH MIAMI BEACH",
            "state": "FL",
            "postal_code": "331604138",
            "telephone_number": "305-615-6300",
            "fax_number": "305-330-9902"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7975 NW 154TH ST",
            "address_2": "#250",
            "city": "MIAMI LAKES",
            "state": "FL",
            "postal_code": "330165863",
            "telephone_number": "305-615-6300",
            "fax_number": "305-330-9902"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANCED ENDODONTIC GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-03-20",
        "last_updated": "2022-02-08",
        "certification_date": "2022-02-08",
        "status": "A",
        "authorized_official_last_name": "EPELMAN DORRA",
        "authorized_official_first_name": "INGRID",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "786-488-0335",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S"
    },
    "taxonomies": [
        {
            "code": "1223E0200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Endodontics",
            "state": "FL",
            "license": "DN18918",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami Lakes, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 2022; 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.