Individual provider Active NPI

Diane Ede-Nichols, DMD, MHL, MPH

  • General Practice Dentistry
  • Miami, FL
National Provider Identifier
1225145683
Registry record updated Aug 8, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DN13419 Issued in FL
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

Updated by the provider on Aug 8, 2025

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 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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20141031002181 FL Practitioner - Oral Surgery 3072734235 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DN13419FLMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Nova Southeastern University Inc. CurrentSince Sep 1, 2014 Accepting new patients
Kansas City University CurrentSince Jun 1, 2023 Accepting new patients
Nova Southeastern University, Inc Current Accepting new patients
Nova Southeastern University, Inc CurrentSince Sep 1, 2014 Accepting new patients
Empower U, Inc PastSince Dec 1, 2019 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.

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

Verify at the official NPI Registry.