Individual provider Active NPI

Laura V Bueno Diaz, D.D.S.

  • General Practice Dentistry
  • Miami, FL
National Provider Identifier
1205926771
Registry record updated Jan 28, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DN0012660 Issued in FL
Practice address
9995 SW 72ND St
Suite # 207
Miami, FL 33173-4662
Phone
(305) 596-2335
Fax
(305) 596-6938
NPI assigned
Oct 13, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 28, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X DN0012660 FL Primary

Addresses

Primary practice location

9995 SW 72ND St
Suite # 207
Miami, FL 33173-4662

Mailing address

9995 SW 72ND St
Suite # 207
Miami, FL 33173-4662
Phone (305) 596-2335

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

LicenseStateTypeSpecialty
DN0012660FLMDGeneral Practice Dentistry

NPI Registry JSON

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

{
    "created_epoch": "1160697600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1453939200000",
    "number": "1205926771",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9995 SW 72ND ST",
            "address_2": "SUITE # 207",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331734662",
            "telephone_number": "305-596-2335",
            "fax_number": "305-596-6938"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9995 SW 72ND ST",
            "address_2": "SUITE # 207",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331734662",
            "telephone_number": "305-596-2335",
            "fax_number": "305-596-6938"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUENO DIAZ",
        "first_name": "LAURA",
        "middle_name": "V",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-10-13",
        "last_updated": "2016-01-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "FL",
            "license": "DN0012660",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2016; 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.