Individual provider Active NPI

Javier Enrique De la Barca Suarez, DOCTOR OF DENTISTRY

  • Dentist
  • Hialeah, FL
National Provider Identifier
1285219998
Registry record updated May 8, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
DRPM2274 Issued in FL
Practice address
750 E 25TH St
Hialeah, FL 33013-3817
Phone
(305) 694-5400
NPI assigned
Mar 15, 2021
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 8, 2021

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X FL
Student in an Organized Health Care Education/Training Program 390200000X DRPM2274 FL
Dentist 122300000X DRPM2274 FL Primary

Addresses

Primary practice location

750 E 25TH St
Hialeah, FL 33013-3817

Mailing address

1341 W 40TH St
Hialeah, FL 33012-4780
Phone (786) 720-0941

Other identifiers 1

IdentifierTypeStateIssuer
37012336OtherFLUNIVERSITY OF FLORIDA

Electronic endpoints 2

TypeEndpointUseAffiliation
CONNECT URL https://ufhealth.org Direct
CONNECT URL https://ufhealth.org/

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
DRPM2274FLMDStudent in an Organized Health Care Education/Training Program

Practice roles

OrganizationSpecialtyStatusNew patients
Faculty Associates, Inc PastSince Mar 21, 2021 Accepting new patients

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": "1615766400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1620432000000",
    "number": "1285219998",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1341 W 40TH ST",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330124780",
            "telephone_number": "786-720-0941"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "750 E 25TH ST",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330133817",
            "telephone_number": "305-694-5400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DE LA BARCA SUAREZ",
        "first_name": "JAVIER",
        "middle_name": "ENRIQUE",
        "credential": "DOCTOR OF DENTISTRY",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-03-15",
        "last_updated": "2021-05-08",
        "certification_date": "2021-05-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "FL",
            "license": null,
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "FL",
            "license": "DRPM2274",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "FL",
            "license": "DRPM2274",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNIVERSITY OF FLORIDA",
            "identifier": "37012336",
            "state": "FL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://ufhealth.org",
            "affiliation": "N",
            "endpointDescription": "website",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "750 E 25th St",
            "city": "Hialeah",
            "state": "FL",
            "country_code": "US",
            "postal_code": "330133817",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://ufhealth.org/",
            "affiliation": "N",
            "address_1": "750 E 25th St",
            "city": "Hialeah",
            "state": "FL",
            "country_code": "US",
            "postal_code": "330133817",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Hialeah, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2021; 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.