Individual provider Active NPI

Adriana M Echenagucia, DDS

  • Dentist
  • Biscayne Park, FL
National Provider Identifier
1285187948
Registry record updated Mar 6, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
22231 Issued in FL
Practice address
10801 NE 8TH CT
Biscayne Park, FL 33161-7219
Phone
(954) 305-0369
NPI assigned
Jul 29, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 6, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 22231 FL Primary

Addresses

Primary practice location

10801 NE 8TH CT
Biscayne Park, FL 33161-7219

Mailing address

10801 NE 8TH CT
Biscayne Park, FL 33161-7219
Phone (954) 305-0369

Other practice location 1

5651 Davie Rd
Davie, FL 33314-7121
Phone (954) 320-0189

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20161219001486 FL Order and Referring Only - DentistPractitioner - Dentist 7113208703

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
22231FLMDDentist

Practice roles (1 of 2)

OrganizationSpecialtyStatusNew patients
Miami Oaks Dental Dentist Past 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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1469750400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1614988800000",
    "number": "1285187948",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10801 NE 8TH CT",
            "city": "BISCAYNE PARK",
            "state": "FL",
            "postal_code": "331617219",
            "telephone_number": "954-305-0369"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10801 NE 8TH CT",
            "city": "BISCAYNE PARK",
            "state": "FL",
            "postal_code": "331617219",
            "telephone_number": "954-305-0369"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5651 Davie Rd",
            "address_purpose": "LOCATION",
            "city": "Davie",
            "state": "FL",
            "postal_code": "333147121",
            "country_code": "US",
            "telephone_number": "954-320-0189",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ECHENAGUCIA",
        "first_name": "ADRIANA",
        "middle_name": "M",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-07-29",
        "last_updated": "2021-03-06",
        "certification_date": "2021-03-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "FL",
            "license": "22231",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Biscayne Park, FL

Sources for this page

Verify at the official NPI Registry.