NPIMap

Organization Active NPI

JMC Aesthetics, LLC

  • General Practice Physician
  • Miami, FL
National Provider Identifier
1275813263
Registry record updated Aug 22, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
ME95727 Issued in FL
Legal business name
JMC AESTHETICS, LLC
Practice address
2001 Biscayne Blvd Ste 115
Miami, FL 33137-5056
Phone
(305) 456-7206
Fax
(305) 456-7688
NPI assigned
Aug 22, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2011

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

Authorized official

Name
Dr. John Michael Childress, M.D.
Title
Owner
Phone
(305) 456-7206

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208D00000X ME95727 FL Primary

Addresses

Primary practice location

2001 Biscayne Blvd Ste 115
Miami, FL 33137-5056

Mailing address

2001 Biscayne Blvd Ste 115
Miami, FL 33137-5056
Phone (305) 456-7206

Other names 1

  • jmc restorative medicine Doing business as

National Provider Directory

National Provider Directory

Locations

2001 Biscayne Blvd
Ste 115
Miami, FL 33137
Phone (305) 456-7206

NPI Registry JSON

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

{
    "created_epoch": "1313971200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1313971200000",
    "number": "1275813263",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2001 BISCAYNE BLVD STE 115",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331375056",
            "telephone_number": "305-456-7206",
            "fax_number": "305-456-7688"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2001 BISCAYNE BLVD STE 115",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331375056",
            "telephone_number": "305-456-7206",
            "fax_number": "305-456-7688"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JMC AESTHETICS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-08-22",
        "last_updated": "2011-08-22",
        "status": "A",
        "authorized_official_last_name": "CHILDRESS",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "MICHAEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "305-456-7206",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "General Practice",
            "state": "FL",
            "license": "ME95727",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "jmc restorative medicine",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Aug 22, 2011; 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.