NPIMap

Organization Active NPI

George a. Vazquez DMD PA

  • Dental Clinic/Center
  • Homestead, FL
National Provider Identifier
1235335688
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
License
DN 16870 Issued in FL
Legal business name
GEORGE A. VAZQUEZ DMD PA
Practice address
2040 NE 8TH St
Homestead, FL 33033-4702
Phone
(305) 245-9343
Fax
(305) 245-9393
NPI assigned
Jun 22, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. George A. Vazquez, DMD
Title
Dentist Owner
Phone
(305) 246-9343

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X DN 16870 FL Primary

Addresses

Primary practice location

2040 NE 8TH St
Homestead, FL 33033-4702

Mailing address

2040 NE 8TH St
Homestead, FL 33033-4702
Phone (305) 245-9343

Other names 1

  • Dental of Homestead Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Dental Care of South FL2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

2040 NE 8th St
Homestead, FL 33033
Phone (305) 245-9343

Practitioners & affiliated clinicians

Practitioners 1

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": "1182470400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1235335688",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2040 NE 8TH ST",
            "city": "HOMESTEAD",
            "state": "FL",
            "postal_code": "330334702",
            "telephone_number": "305-245-9343",
            "fax_number": "305-245-9393"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2040 NE 8TH ST",
            "city": "HOMESTEAD",
            "state": "FL",
            "postal_code": "330334702",
            "telephone_number": "305-245-9343",
            "fax_number": "305-245-9393"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GEORGE A. VAZQUEZ DMD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-22",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "VAZQUEZ",
        "authorized_official_first_name": "GEORGE",
        "authorized_official_middle_name": "A.",
        "authorized_official_title_or_position": "DENTIST OWNER",
        "authorized_official_telephone_number": "305-246-9343",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "FL",
            "license": "DN 16870",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Dental of Homestead",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Homestead, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.