NPIMap

Organization Active NPI

Elite Smiles Pediatric Dentistry

  • Pediatric Dentistry
  • Miami, FL
National Provider Identifier
1215648969
Registry record updated Dec 13, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
Legal business name
ELITE SMILES PEDIATRIC DENTISTRY
Practice address
18240 SW 147TH Ave
Miami, FL 33187-1813
Phone
(305) 570-1833
NPI assigned
Dec 13, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 13, 2022

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

Authorized official

Name
Dr. Fabiola Ortega, DDSNPI 1790002038
Title
Owner
Phone
(305) 586-2328

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 SINGLE SPECIALTY GROUP 1223P0221X Primary

Addresses

Primary practice location

18240 SW 147TH Ave
Miami, FL 33187-1813

Mailing address

15645 SW 176TH Ter
Miami, FL 33187-6706
Phone (305) 570-1833

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL elitesmilespediatricdentistry@gmail.com Direct

National Provider Directory

National Provider Directory

Locations

18240 SW 147th Ave
Miami, FL 33187
Phone (305) 570-1833

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": "1670889600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1670889600000",
    "number": "1215648969",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15645 SW 176TH TER",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331876706",
            "telephone_number": "305-570-1833"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18240 SW 147TH AVE",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331871813",
            "telephone_number": "305-570-1833"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELITE SMILES PEDIATRIC DENTISTRY",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-12-13",
        "last_updated": "2022-12-13",
        "certification_date": "2022-12-13",
        "status": "A",
        "authorized_official_last_name": "ORTEGA",
        "authorized_official_first_name": "FABIOLA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "305-586-2328",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "elitesmilespediatricdentistry@gmail.com",
            "affiliation": "N",
            "endpointDescription": "email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "18240 SW 147th Ave",
            "city": "Miami",
            "state": "FL",
            "country_code": "US",
            "postal_code": "331871813",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "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 Dec 13, 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.