Active NPI
Dental Pearl LLC
- General Practice Dentistry
- North Miami, FL
National Provider Identifier
1235903303
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- Legal business name
- DENTAL PEARL LLC
- Practice address
- 14771 Biscayne Blvd
North Miami, FL 33181-1217 - Phone
- (305) 816-6620
- Fax
- (877) 651-3774
- NPI assigned
- Nov 9, 2023
- Last updated
- Nov 14, 2023
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Leonid Klause
- Title
- Owner
- Phone
- (812) 241-2753
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | NU | Primary |
Addresses
Primary practice location
14771 Biscayne Blvd
North Miami, FL 33181-1217
Mailing address
14771 Biscayne Blvd
North Miami, FL 33181-1217
Phone (305) 816-6620
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1487348173 | Other | FL | 1223G0001X |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1699488000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1699920000000",
"number": "1235903303",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "14771 BISCAYNE BLVD",
"city": "NORTH MIAMI",
"state": "FL",
"postal_code": "331811217",
"telephone_number": "305-816-6620",
"fax_number": "877-651-3774"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "14771 BISCAYNE BLVD",
"city": "NORTH MIAMI",
"state": "FL",
"postal_code": "331811217",
"telephone_number": "305-816-6620",
"fax_number": "877-651-3774"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DENTAL PEARL LLC",
"organizational_subpart": "NO",
"enumeration_date": "2023-11-09",
"last_updated": "2023-11-14",
"certification_date": "2023-11-14",
"status": "A",
"authorized_official_last_name": "KLAUSE",
"authorized_official_first_name": "LEONID",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "812-241-2753",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "1223G0001X",
"identifier": "1487348173",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in North Miami, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.