Individual provider Active NPI

Stephanie Lucia Espinosa, DDS

  • Dentist
  • Miami, FL
National Provider Identifier
1245903681
Registry record updated Jul 22, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
22DI02856400 Issued in NJ
Practice address
12350 SW 127TH Ave
Miami, FL 33186-6595
Phone
(305) 232-2227
NPI assigned
Jul 30, 2021
Last updated
Jul 22, 2022By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 22, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 22DI02856400 NJ Primary

Addresses

Primary practice location

12350 SW 127TH Ave
Miami, FL 33186-6595

Mailing address

13431 SW 21St St
Miami, FL 33175-1005
Phone (305) 336-7230

Other practice location 1

9 Alling St # 25
Newark, NJ 07102-5376
Phone (973) 297-1550

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

LicenseStateTypeSpecialty
22DI02856400NJMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Kendall Dental Care Dentist PastSince Jul 24, 2022 Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1627603200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658448000000",
    "number": "1245903681",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13431 SW 21ST ST",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331751005",
            "telephone_number": "305-336-7230"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12350 SW 127TH AVE",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331866595",
            "telephone_number": "305-232-2227"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9 Alling St # 25",
            "address_purpose": "LOCATION",
            "city": "Newark",
            "state": "NJ",
            "postal_code": "071025376",
            "country_code": "US",
            "telephone_number": "973-297-1550",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ESPINOSA",
        "first_name": "STEPHANIE",
        "middle_name": "LUCIA",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-07-30",
        "last_updated": "2022-07-22",
        "certification_date": "2022-07-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NJ",
            "license": "22DI02856400",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Jul 22, 2022; 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.