Individual provider Active NPI

Angie La Concha

  • Student in an Organized Health Care Education/Training Program
  • Hialeah, FL
National Provider Identifier
1235087362
Registry record updated Sep 11, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Student in an Organized Health Care Education/Training ProgramTaxonomy code 390200000X
License
DRPM3010 Issued in FL
Practice address
750 E 25TH St
Hialeah, FL 33013-3817
Phone
(305) 694-5400
NPI assigned
Mar 16, 2026
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X DRPM3010 FL Primary
General Practice Dentistry 1223G0001X 3010 FL

Addresses

Primary practice location

750 E 25TH St
Hialeah, FL 33013-3817

Mailing address

17945 SW 97TH Ave Apt 416
Palmetto Bay, FL 33157-5452
Phone (954) 531-7278

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
3010FLMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Faculty Associates, Inc General Practice Past Accepting new patients

Organizations & group practices 1

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": "1773619200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1789084800000",
    "number": "1235087362",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17945 SW 97TH AVE APT 416",
            "city": "PALMETTO BAY",
            "state": "FL",
            "postal_code": "331575452",
            "telephone_number": "954-531-7278"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "750 E 25TH ST",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330133817",
            "telephone_number": "305-694-5400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LA CONCHA",
        "first_name": "ANGIE",
        "name_prefix": "Ms.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2026-03-16",
        "last_updated": "2026-09-11",
        "certification_date": "2026-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "FL",
            "license": "DRPM3010",
            "primary": true
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "FL",
            "license": "3010",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hialeah, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2026; 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.