NPIMap

Organization Active NPI

Joseph Kilshtok DDS PA

  • General Practice Dentistry
  • Miami, FL
National Provider Identifier
1235205493
Registry record updated Nov 9, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
FLDN10774 Issued in FL
Legal business name
JOSEPH KILSHTOK DDS PA
Practice address
1015 N America Wy
#150
Miami, FL 33132
Phone
(305) 530-0706
Fax
(305) 358-5440
NPI assigned
Nov 28, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 9, 2009

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

Authorized official

Name
Dr. Joseph Kilshtok, DDS
Title
President
Phone
(305) 933-9634

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X FLDN10774 FL Primary

Addresses

Primary practice location

1015 N America Wy
#150
Miami, FL 33132

Mailing address

2100 E Hallandale BCH Blvd
#304
Hallandale, FL 33009
Phone (954) 456-2100

Other names 1

  • Port Of Miami Dental Doing business as

National Provider Directory

National Provider Directory

Locations

1015 N America Way
Ste 150
Miami, FL 33132
Phone (305) 358-4265

Practitioners & affiliated clinicians

Practitioners 3

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": "1164672000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1257724800000",
    "number": "1235205493",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2100 E HALLANDALE BCH BLVD",
            "address_2": "#304",
            "city": "HALLANDALE",
            "state": "FL",
            "postal_code": "33009",
            "telephone_number": "954-456-2100",
            "fax_number": "954-457-9141"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1015 N AMERICA WY",
            "address_2": "#150",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "33132",
            "telephone_number": "305-530-0706",
            "fax_number": "305-358-5440"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOSEPH KILSHTOK DDS PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-28",
        "last_updated": "2009-11-09",
        "status": "A",
        "authorized_official_last_name": "KILSHTOK",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "305-933-9634",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "FL",
            "license": "FLDN10774",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Port Of Miami Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Nov 9, 2009; 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.