NPIMap

Organization Active NPI

Phanord & Associates PA

  • Oral and Maxillofacial Surgery (Dentist)
  • Miami, FL
National Provider Identifier
1255362877
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X
License
DN0011236 Issued in FL
Legal business name
PHANORD & ASSOCIATES PA
Practice address
1245 NW 119 St
Miami, FL 33167
Phone
(305) 685-7863
Fax
(305) 687-7603
NPI assigned
Jul 5, 2006
Last updated
Sep 11, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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

Authorized official

Name
Dr. Roger J Phanod, DMD
Title
Owner and Doctor
Phone
(305) 685-7863

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Endodontics 1223E0200X DN0011339 FL
Pediatric Dentistry 1223P0221X DN0014809 FL
Oral and Maxillofacial Surgery (Dentist) 1223S0112X DN0011236 FL Primary

Addresses

Primary practice location

1245 NW 119 St
Miami, FL 33167

Mailing address

1245 NW 119 St
Miami, FL 33167
Phone (305) 685-7863

National Provider Directory

National Provider Directory

Locations

1245 NW 119th St
North Miami, FL 33167
Phone (305) 685-7863

Practitioners & affiliated clinicians

Practitioners 8

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1152057600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757548800000",
    "number": "1255362877",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1245 NW 119 ST",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "33167",
            "telephone_number": "305-685-7863",
            "fax_number": "305-687-7603"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1245 NW 119 ST",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "33167",
            "telephone_number": "305-685-7863",
            "fax_number": "305-687-7603"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHANORD & ASSOCIATES PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-05",
        "last_updated": "2025-09-11",
        "status": "A",
        "authorized_official_last_name": "PHANOD",
        "authorized_official_first_name": "ROGER",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER AND DOCTOR",
        "authorized_official_telephone_number": "305-685-7863",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223E0200X",
            "taxonomy_group": "",
            "desc": "Dentist, Endodontics",
            "state": "FL",
            "license": "DN0011339",
            "primary": false
        },
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "FL",
            "license": "DN0014809",
            "primary": false
        },
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "FL",
            "license": "DN0011236",
            "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 Sep 11, 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.