Individual provider Active NPI

Evelyn Aldama, DDS

  • General Practice Dentistry
  • North Miami, FL
National Provider Identifier
1275976771
Registry record updated Feb 26, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DN17045 Issued in FL
Practice address
645 NE 127 St
North Miami, FL 33161
Phone
(786) 542-0421
Fax
(305) 677-3449
NPI assigned
Apr 15, 2013
Last updated
Feb 26, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 26, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X DN17045 FL Primary

Addresses

Primary practice location

645 NE 127 St
North Miami, FL 33161

Mailing address

645 NE 127 St
North Miami, FL 33161
Phone (786) 542-0421

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
DN17045FLMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Aldama Dental Group PA General Practice Past Accepting new patients

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, 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": "1365984000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1708905600000",
    "number": "1275976771",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "645 NE 127 ST",
            "city": "NORTH MIAMI",
            "state": "FL",
            "postal_code": "33161",
            "telephone_number": "786-542-0421",
            "fax_number": "305-677-3449"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "645 NE 127 ST",
            "city": "NORTH MIAMI",
            "state": "FL",
            "postal_code": "33161",
            "telephone_number": "786-542-0421",
            "fax_number": "305-677-3449"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALDAMA",
        "first_name": "EVELYN",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-04-15",
        "last_updated": "2024-02-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "FL",
            "license": "DN17045",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Miami, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2024; 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.