Individual provider Active NPI

Kimberly Florence Padron, DDS

  • Dentist
  • Miami, FL
National Provider Identifier
1265261028
Registry record updated Jul 30, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
DN29393 Issued in FL
Practice address
12022 SW 88TH St
Miami, FL 33186-2002
Phone
(786) 623-5056
NPI assigned
Jul 30, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 30, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X DN29393 FL Primary

Addresses

Primary practice location

12022 SW 88TH St
Miami, FL 33186-2002

Mailing address

14420 Harris PL
Miami Lakes, FL 33014-2724
Phone (305) 527-5713

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
I20250731004625 FL Order and Referring Only - DentistPractitioner - Dentist 1557879616

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DN29393FLMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
North Kendall Dentists PA Dentist CurrentSince Aug 4, 2024 Accepting new patients

Locations

12022 SW 88th St
Miami, FL 33186
Phone (786) 623-5056

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1722297600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1722297600000",
    "number": "1265261028",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14420 HARRIS PL",
            "city": "MIAMI LAKES",
            "state": "FL",
            "postal_code": "330142724",
            "telephone_number": "305-527-5713"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12022 SW 88TH ST",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331862002",
            "telephone_number": "786-623-5056"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PADRON",
        "first_name": "KIMBERLY",
        "middle_name": "FLORENCE",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-07-30",
        "last_updated": "2024-07-30",
        "certification_date": "2024-07-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "FL",
            "license": "DN29393",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

Verify at the official NPI Registry.