Active NPI
Jaime J Vergara, DDS
- General Practice Dentistry
- Key Biscayne, FL
National Provider Identifier
1245455344
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- DN12088
- Practice address
- 328 Crandon Blvd
Suite 220
Key Biscayne, FL 33149-1333 - Phone
- (305) 361-8002
- Fax
- (305) 361-8014
- NPI assigned
- Apr 16, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | DN12088 | FL | Primary |
Addresses
Primary practice location
328 Crandon Blvd
Suite 220
Key Biscayne, FL 33149-1333
Mailing address
328 Crandon Blvd
Suite 220
Key Biscayne, FL 33149-1333
Phone (305) 361-8002
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
| License | State | Type | Specialty |
|---|---|---|---|
| DN12088 | FL | MD | General Practice Dentistry |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1176681600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1245455344",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "328 CRANDON BLVD",
"address_2": "SUITE 220",
"city": "KEY BISCAYNE",
"state": "FL",
"postal_code": "331491333",
"telephone_number": "305-361-8002",
"fax_number": "305-361-8014"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "328 CRANDON BLVD",
"address_2": "SUITE 220",
"city": "KEY BISCAYNE",
"state": "FL",
"postal_code": "331491333",
"telephone_number": "305-361-8002",
"fax_number": "305-361-8014"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VERGARA",
"first_name": "JAIME",
"middle_name": "J",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-04-16",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "FL",
"license": "DN12088",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Key Biscayne, FL
- Total Care Therapy Services Inc
- Total Functional Rehabilitation Therapy,
- Karla Umpierre, PSY. D.
- Caridad Valdes, ARNP
- Daniella Ursula Vergara, DDS
- Village of Key Biscayne (Village of Key Biscayne Fire Rescue)
- Carolina Paula Villanueva, M.D
- Vimani LLC (Dr. GoodPrice)
- Adriana Von Simson
- Daniel Alejandro Waldman, PHYSICAL THERAPIST
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.