Active NPI
Greivy Santana Basto, DMD
- Dentist
- Miami, FL
National Provider Identifier
1285292342
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 24149
- Practice address
- 9840 SW 40TH St
Miami, FL 33165-3912 - Phone
- (305) 223-0420
- NPI assigned
- Jun 4, 2019
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 24149 | FL | Primary |
Addresses
Primary practice location
9840 SW 40TH St
Miami, FL 33165-3912
Mailing address
14097 NW 16TH Dr
Pembroke Pines, FL 33028-3010
Phone (786) 447-8841
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
| License | State | Type | Specialty |
|---|---|---|---|
| 24149 | FL | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1559606400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1559606400000",
"number": "1285292342",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "14097 NW 16TH DR",
"city": "PEMBROKE PINES",
"state": "FL",
"postal_code": "330283010",
"telephone_number": "786-447-8841"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9840 SW 40TH ST",
"city": "MIAMI",
"state": "FL",
"postal_code": "331653912",
"telephone_number": "305-223-0420"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BASTO",
"first_name": "GREIVY",
"middle_name": "SANTANA",
"credential": "DMD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-06-04",
"last_updated": "2019-06-04",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "FL",
"license": "24149",
"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 4, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.