Individual provider Active NPI

Javier Salmen Namen Alarcon, DDS

  • Dentist
  • Miami Gardens, FL
National Provider Identifier
1255857801
Registry record updated Apr 29, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
DN25148 Issued in FL
Practice address
20612 NW 27TH Ave
Miami Gardens, FL 33056-1469
Phone
(305) 637-6400
Fax
(305) 636-5155
NPI assigned
Aug 16, 2017
Last updated
Apr 29, 2026By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 29, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X DN25148 FL Primary

Addresses

Primary practice location

20612 NW 27TH Ave
Miami Gardens, FL 33056-1469

Mailing address

5607 NW 27TH Ave Ste 1
Miami, FL 33142-2826
Phone (305) 805-1700

Other identifiers 1

IdentifierTypeStateIssuer
0022113000MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20221215001136 FL Practitioner - Dentist 7315316262 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DN25148FLMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Jessie Trice Community Health System, Inc CurrentSince Sep 3, 2022 Accepting new patients
Jessie Trice Community Health System Inc CurrentSince Sep 3, 2022 Accepting new patients
Jessie Trice Community Health System Inc Current Accepting new patients
Jessie Trice Community Health System, Inc Current Accepting new patients
Jessie Trice Community Health System Inc Past Accepting new patients

Locations

901 E 10th Ave
Ste 39
Hialeah, FL 33010
Phone (305) 835-1578

5361 NW 22nd Ave
Miami, FL 33142
Phone (305) 835-1586

5607 NW 27th Ave
Ste 1
Miami, FL 33142
Phone (305) 805-1700

5607 NW 27th Ave
Ste 2
Miami, FL 33142
Phone (305) 636-3336

20612 NW 27th Ave
Miami Gardens, FL 33056
Phone (305) 835-1615

20612 NW 27th Ave
Ste 304
Miami Gardens, FL 33056

Organizations & group practices 5

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": "1502841600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1777420800000",
    "number": "1255857801",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5607 NW 27TH AVE STE 1",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331422826",
            "telephone_number": "305-805-1700",
            "fax_number": "305-805-1715"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20612 NW 27TH AVE",
            "city": "MIAMI GARDENS",
            "state": "FL",
            "postal_code": "330561469",
            "telephone_number": "305-637-6400",
            "fax_number": "305-636-5155"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NAMEN ALARCON",
        "first_name": "JAVIER",
        "middle_name": "SALMEN",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-08-16",
        "last_updated": "2026-04-29",
        "certification_date": "2026-04-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "FL",
            "license": "DN25148",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0022113000",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami Gardens, FL

Sources for this page

Verify at the official NPI Registry.