Organization Active NPI

Village of Dentistry Bird Rd LLC

  • General Practice Dentistry
  • Miami, FL
National Provider Identifier
1255150629
Registry record updated Jan 22, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
VILLAGE OF DENTISTRY BIRD RD LLC
Practice address
8582 Bird Rd
Miami, FL 33155-3214
Phone
(786) 442-2878
Fax
(786) 550-6551
NPI assigned
Oct 3, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 22, 2025

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

Authorized official

Name
Ernesto Gonzalez Diaz, DDSNPI 1619360716
Title
Owner
Phone
(786) 317-3321

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X Primary

Addresses

Primary practice location

8582 Bird Rd
Miami, FL 33155-3214

Mailing address

8582 Bird Rd
Miami, FL 33155-3214
Phone (786) 442-2878

National Provider Directory

National Provider Directory
Tax ID family
Village of Dentistry Bird Rd LLC2 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

8582 SW 40th St
Miami, FL 33155
Phone (305) 551-3412

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": "1727913600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1737504000000",
    "number": "1255150629",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8582 BIRD RD",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331553214",
            "telephone_number": "786-442-2878"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8582 BIRD RD",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331553214",
            "telephone_number": "786-442-2878",
            "fax_number": "786-550-6551"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VILLAGE OF DENTISTRY BIRD RD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-10-03",
        "last_updated": "2025-01-22",
        "certification_date": "2025-01-22",
        "status": "A",
        "authorized_official_last_name": "GONZALEZ DIAZ",
        "authorized_official_first_name": "ERNESTO",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "786-317-3321",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "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 Jan 22, 2025; 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.