Organization Active NPI

Little Stars Dentistry of Miami Shores

  • Dentist
  • Miami Shores, FL
National Provider Identifier
1285035899
Registry record updated Sep 15, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
DN13832 Issued in FL
Legal business name
LITTLE STARS DENTISTRY OF MIAMI SHORES
Practice address
660 NE 95TH St
Ste #9
Miami Shores, FL 33138-2758
Phone
(305) 754-5081
NPI assigned
Sep 15, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 15, 2014

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

Authorized official

Name
Luis J Rodriguez
Title
Owner
Phone
(305) 754-5081

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193200000X MULTI-SPECIALTY GROUP 122300000X DN13832 FL Primary

Addresses

Primary practice location

660 NE 95TH St
Ste #9
Miami Shores, FL 33138-2758

Mailing address

660 NE 95TH St
Ste #9
Miami Shores, FL 33138-2758
Phone (305) 754-5081

Other identifiers 1

IdentifierTypeStateIssuer
071356200MedicaidFL

National Provider Directory

National Provider Directory

Locations

660 NE 95th St
Ste 9
Miami Shores, FL 33138
Phone (305) 754-5081

NPI Registry JSON

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

{
    "created_epoch": "1410739200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1410739200000",
    "number": "1285035899",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "660 NE 95TH ST",
            "address_2": "STE #9",
            "city": "MIAMI SHORES",
            "state": "FL",
            "postal_code": "331382758",
            "telephone_number": "305-754-5081"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "660 NE 95TH ST",
            "address_2": "STE #9",
            "city": "MIAMI SHORES",
            "state": "FL",
            "postal_code": "331382758",
            "telephone_number": "305-754-5081"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LITTLE STARS DENTISTRY OF MIAMI SHORES",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-09-15",
        "last_updated": "2014-09-15",
        "status": "A",
        "authorized_official_last_name": "RODRIGUEZ",
        "authorized_official_first_name": "LUIS",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "305-754-5081"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "FL",
            "license": "DN13832",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "071356200",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami Shores, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2014; 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.