NPIMap

Organization Active NPI

Georgina Mesa D.M.D., P.a.

  • Dentist
  • Miami, FL
National Provider Identifier
1285048827
Registry record updated Jun 11, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
DN0013428 Issued in FL
Legal business name
GEORGINA MESA D.M.D., P.A.
Practice address
13550 SW 120TH St
Suite 512
Miami, FL 33186-7397
Phone
(305) 380-7000
Fax
(786) 227-5315
NPI assigned
Jun 11, 2014
Last updated
Jun 11, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 11, 2014

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

Authorized official

Name
Georgina Mesa, D.M.D.NPI 1376620344
Title
President
Phone
(305) 380-7000

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X DN0013428 FL Primary

Addresses

Primary practice location

13550 SW 120TH St
Suite 512
Miami, FL 33186-7397

Mailing address

13550 SW 120TH St
Suite 512
Miami, FL 33186-7397
Phone (305) 380-7000

National Provider Directory

National Provider Directory
Tax ID family
Georgina Mesa DMD PA2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1402444800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1402444800000",
    "number": "1285048827",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13550 SW 120TH ST",
            "address_2": "SUITE 512",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331867397",
            "telephone_number": "305-380-7000",
            "fax_number": "786-227-5315"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13550 SW 120TH ST",
            "address_2": "SUITE 512",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331867397",
            "telephone_number": "305-380-7000",
            "fax_number": "786-227-5315"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GEORGINA MESA D.M.D., P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-06-11",
        "last_updated": "2014-06-11",
        "status": "A",
        "authorized_official_last_name": "MESA",
        "authorized_official_first_name": "GEORGINA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "305-380-7000",
        "authorized_official_credential": "D.M.D."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "FL",
            "license": "DN0013428",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Jun 11, 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.