Organization Active NPI

Pediatric Dentistry Only PA

  • Pediatric Dentistry
  • Miami, FL
National Provider Identifier
1215607262
Registry record updated Nov 1, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
Legal business name
PEDIATRIC DENTISTRY ONLY PA
Practice address
9211 Sunset Dr Ste 201
Miami, FL 33173-3225
Phone
(305) 361-1192
NPI assigned
Sep 20, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 1, 2021

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

Authorized official

Name
Alexandra Garcia
Title
Manager
Phone
(954) 297-0767

Specialties & licenses 1

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

Addresses

Primary practice location

9211 Sunset Dr Ste 201
Miami, FL 33173-3225

Mailing address

9211 Sunset Dr
Miami, FL 33173-3225
Phone (305) 361-1192

National Provider Directory

National Provider Directory

Locations

9211 Sunset Dr
Ste 201
Miami, FL 33173
Phone (305) 361-1192

9211 Sunset Dr
Miami, FL 33173
Phone (305) 361-1192

Practitioners & affiliated clinicians

Practitioners 1

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": "1632096000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1635724800000",
    "number": "1215607262",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9211 SUNSET DR",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331733225",
            "telephone_number": "305-361-1192"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9211 SUNSET DR STE 201",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331733225",
            "telephone_number": "305-361-1192"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEDIATRIC DENTISTRY ONLY PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-09-20",
        "last_updated": "2021-11-01",
        "certification_date": "2021-11-01",
        "status": "A",
        "authorized_official_last_name": "GARCIA",
        "authorized_official_first_name": "ALEXANDRA",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "954-297-0767"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": null,
            "license": null,
            "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 Nov 1, 2021; 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.