Individual provider Active NPI

Ninoska Del Valle Perez Enez, DDS

  • General Practice Dentistry
  • Miami, FL
National Provider Identifier
1285131771
Registry record updated Jan 7, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
25232 Issued in FL
Practice address
480 NE 30TH St Apt 1606
Miami, FL 33137-4337
Phone
(954) 857-1739
NPI assigned
Apr 10, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 7, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
General Practice Dentistry 1223G0001X 25232 FL Primary

Addresses

Primary practice location

480 NE 30TH St Apt 1606
Miami, FL 33137-4337

Mailing address

480 NE 30TH St Apt 1606
Miami, FL 33137-4337
Phone (954) 857-1739

Other practice location 1

9380 SW 150th St Ste 170
Miami, FL 33176-7956
Phone (305) 256-5270

Other practice location 2

1611 NW 12th Ave Fl 33136
Miami, FL 33136-1005
Phone (305) 689-6725

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
25232FLMDPhysical Therapy Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Ninoska Perez Enez Current Accepting new patients

Networks

  • Freedom Health HMO Network

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": "1523318400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1641513600000",
    "number": "1285131771",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "480 NE 30TH ST APT 1606",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331374337",
            "telephone_number": "954-857-1739"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "480 NE 30TH ST APT 1606",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331374337",
            "telephone_number": "954-857-1739"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9380 SW 150th St Ste 170",
            "address_purpose": "LOCATION",
            "city": "Miami",
            "state": "FL",
            "postal_code": "331767956",
            "country_code": "US",
            "telephone_number": "305-256-5270",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1611 NW 12th Ave Fl 33136",
            "address_purpose": "LOCATION",
            "city": "Miami",
            "state": "FL",
            "postal_code": "331361005",
            "country_code": "US",
            "telephone_number": "305-689-6725",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PEREZ ENEZ",
        "first_name": "NINOSKA",
        "middle_name": "DEL VALLE",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-04-10",
        "last_updated": "2022-01-07",
        "certification_date": "2022-01-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "FL",
            "license": "25232",
            "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 Jan 7, 2022; 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.