Active NPI
Little Stars Dentistry of Miami Shores
- Dentist
- Miami Shores, FL
National Provider Identifier
1285035899
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- DN13832
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 071356200 | Medicaid | FL |
National Provider Directory
National Provider DirectoryLocations
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.