Organization Active NPI

Mirtha Amador, DMD, PA

  • General Practice Dentistry
  • Coral Gables, FL
National Provider Identifier
1235244583
Registry record updated Nov 5, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DN13027 Issued in FL
Legal business name
MIRTHA AMADOR, DMD, PA
Practice address
357 Almeria Ave Ste 105
Coral Gables, FL 33134-5801
Phone
(305) 569-9001
Fax
(305) 444-9882
NPI assigned
Aug 19, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 5, 2013

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

Authorized official

Name
Dr. Mirtha Amador, DMD
Title
Doctor/Owner
Phone
(305) 569-9001

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 1223G0001X DN13027 FL Primary
General Practice DentistryGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 1223G0001X DN0013149 FL

Addresses

Primary practice location

357 Almeria Ave Ste 105
Coral Gables, FL 33134-5801

Mailing address

357 Almeria Avenue, Ste 105
Coral Gables, FL 33134-5902
Phone (305) 569-9001

Other identifiers 2

IdentifierTypeStateIssuer
071899800MedicaidFL
075016600MedicaidFL

National Provider Directory

National Provider Directory

Locations

357 Almeria Ave
Ste 105
Coral Gables, FL 33134
Phone (305) 569-9001

Practitioners & affiliated clinicians

Practitioners 2

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": "1155945600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1383609600000",
    "number": "1235244583",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "357 ALMERIA AVENUE, STE 105",
            "city": "CORAL GABLES",
            "state": "FL",
            "postal_code": "331345902",
            "telephone_number": "305-569-9001",
            "fax_number": "305-444-9882"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "357 ALMERIA AVE STE 105",
            "city": "CORAL GABLES",
            "state": "FL",
            "postal_code": "331345801",
            "telephone_number": "305-569-9001",
            "fax_number": "305-444-9882"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIRTHA AMADOR, DMD, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-19",
        "last_updated": "2013-11-05",
        "status": "A",
        "authorized_official_last_name": "AMADOR",
        "authorized_official_first_name": "MIRTHA",
        "authorized_official_title_or_position": "DOCTOR/OWNER",
        "authorized_official_telephone_number": "305-569-9001",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "FL",
            "license": "DN13027",
            "primary": true
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "FL",
            "license": "DN0013149",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "071899800",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "075016600",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Coral Gables, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2013; 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.