Active NPI
Jacarreno DDS PA
- General Practice Dentistry
- Miami, FL
National Provider Identifier
1295029700
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- DN7219
- Legal business name
- JACARRENO DDS PA
- Practice address
- 10688 Coral Way
Miami, FL 33165-7917 - Phone
- (305) 553-1640
- Fax
- (305) 271-1167
- NPI assigned
- Jun 1, 2011
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Jose Antonio Carreno, DDS
- Title
- President
- Phone
- (305) 553-1640
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | DN7219 | FL | Primary |
Addresses
Primary practice location
10688 Coral Way
Miami, FL 33165-7917
Mailing address
10688 Coral Way
Miami, FL 33165-7917
Phone (305) 553-1640
Other names 1
- dental office
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- General Practice Dentistry
- Miami, FL
- NPI 1386565497
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1306886400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1306886400000",
"number": "1295029700",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10688 CORAL WAY",
"city": "MIAMI",
"state": "FL",
"postal_code": "331657917",
"telephone_number": "305-553-1640",
"fax_number": "305-271-1167"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10688 CORAL WAY",
"city": "MIAMI",
"state": "FL",
"postal_code": "331657917",
"telephone_number": "305-553-1640",
"fax_number": "305-271-1167"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "JACARRENO DDS PA",
"organizational_subpart": "NO",
"enumeration_date": "2011-06-01",
"last_updated": "2011-06-01",
"status": "A",
"authorized_official_last_name": "CARRENO",
"authorized_official_first_name": "JOSE",
"authorized_official_middle_name": "ANTONIO",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "305-553-1640",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DDS"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Dentist, General Practice",
"state": "FL",
"license": "DN7219",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "dental office",
"code": "5",
"type": "Other Name"
}
]
}
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 1, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.