Active NPI
Diane Ede-Nichols, DMD, MHL, MPH
- General Practice Dentistry
- Miami, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- DN13419
- Practice address
- 7900 NW 27TH Avenue
Suite E-12
Miami, FL 33147-4934 - Phone
- (786) 318-2337
- Fax
- (786) 906-1207
- NPI assigned
- Aug 23, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | DN13419 | FL | Primary |
Addresses
Primary practice location
7900 NW 27TH Avenue
Suite E-12
Miami, FL 33147-4934
Mailing address
7900 NW 27TH Avenue
Suite D- 205
Miami, FL 33147-4934
Phone (786) 318-2337
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DN13419 | FL | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Nova Southeastern University Inc. | Current | Accepting new patients | |
| Kansas City University | Current | Accepting new patients | |
| Nova Southeastern University, Inc | Current | Accepting new patients | |
| Nova Southeastern University, Inc | Current | Accepting new patients | |
| Empower U, Inc | Past | Accepting new patients | |
| Empower U, Inc | General Practice | Past | Accepting new patients |
| Nova Southeastern University, Inc | Past | Accepting new patients |
Locations
3200 S University Dr
Davie, FL 33328
Phone (954) 262-1250
650 N Andrews Ave
Ft Lauderdale, FL 33311
Phone (954) 463-4213
1750 NE 167th St
North Miami Beach, FL 33162
Phone (305) 949-4000
3001 Saint Johns Blvd
Joplin, MO 64804
Phone (417) 208-0805
Organizations & group practices 7
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Optometrist
- Ft. Lauderdale, FL
- NPI 1700924511
-
- Clinical Medical Laboratory
- Ft. Lauderdale, FL
- NPI 1770533390
-
- Oral & Maxillofacial Surgery (D.M.D.)
- Ft Lauderdale, FL
- NPI 1093442824
-
- Dental Clinic/Center
- Joplin, MO
- NPI 1295773638
-
- Dental Clinic/Center
- Miami, FL
- NPI 1548806334
-
- Family Medicine Physician
- Davie, FL
- NPI 1447345517
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156291200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1754611200000",
"number": "1225145683",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7900 NW 27TH AVENUE",
"address_2": "SUITE D- 205",
"city": "MIAMI",
"state": "FL",
"postal_code": "331474934",
"telephone_number": "786-318-2337",
"fax_number": "786-906-1207"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7900 NW 27TH AVENUE",
"address_2": "SUITE E-12",
"city": "MIAMI",
"state": "FL",
"postal_code": "331474934",
"telephone_number": "786-318-2337",
"fax_number": "786-906-1207"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EDE-NICHOLS",
"first_name": "DIANE",
"name_prefix": "Dr.",
"credential": "DMD, MHL, MPH",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-08-23",
"last_updated": "2025-08-08",
"certification_date": "2025-08-08",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "FL",
"license": "DN13419",
"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 Aug 8, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.