Active NPI
Miami Dental Partners LLC
- General Practice Dentistry
- Doral, FL
National Provider Identifier
1215635644
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- Legal business name
- MIAMI DENTAL PARTNERS LLC
- Practice address
- 5645 NW 87TH Ave.
Suite 112
Doral, FL 33178 - Phone
- (614) 915-5078
- NPI assigned
- Feb 15, 2023
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Gabriel Antonio Quinones-Betancourt, DDS
- Title
- Manager
- Phone
- (614) 915-5078
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) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | Primary |
Addresses
Primary practice location
5645 NW 87TH Ave.
Suite 112
Doral, FL 33178
Mailing address
15100 NW 67TH Ave Ste 200
Miami Lakes, FL 33014-2103
Other names 1
- Doral Select Dentistry
National Provider Directory
National Provider DirectoryLocations
5645 NW 87th Ave
Ste 112
Doral, FL 33178
Phone (614) 915-5078
15100 NW 67th Ave
Ste 200
Miami Lakes, FL 33014
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- General Practice Dentistry
- Miami, FL
- NPI 1659937191
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1676419200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1676419200000",
"number": "1215635644",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "15100 NW 67TH AVE STE 200",
"city": "MIAMI LAKES",
"state": "FL",
"postal_code": "330142103"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5645 NW 87TH AVE.",
"address_2": "SUITE 112",
"city": "DORAL",
"state": "FL",
"postal_code": "33178",
"telephone_number": "614-915-5078"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MIAMI DENTAL PARTNERS LLC",
"organizational_subpart": "NO",
"enumeration_date": "2023-02-15",
"last_updated": "2023-02-15",
"certification_date": "2023-02-09",
"status": "A",
"authorized_official_last_name": "QUINONES-BETANCOURT",
"authorized_official_first_name": "GABRIEL",
"authorized_official_middle_name": "ANTONIO",
"authorized_official_title_or_position": "MANAGER",
"authorized_official_telephone_number": "614-915-5078",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DDS"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Dentist, General Practice",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Doral Select Dentistry",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Doral, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.