Organization Active NPI

Empire Dentistry Corp

  • Dental Clinic/Center
  • Miami, FL
National Provider Identifier
1295192664
Registry record updated Jan 15, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
EMPIRE DENTISTRY CORP
Practice address
2030 NW 22ND Ave
Miami, FL 33142-7338
Phone
(305) 631-2963
Fax
(786) 536-6291
NPI assigned
Jan 15, 2016
Last updated
Jan 15, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 15, 2016

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

Authorized official

Name
Mr. Nino Callava
Title
Vice President
Phone
(305) 631-2963

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X NU Primary

Addresses

Primary practice location

2030 NW 22ND Ave
Miami, FL 33142-7338

Mailing address

2030 NW 22ND Ave
Miami, FL 33142-7338
Phone (305) 631-2963

National Provider Directory

National Provider Directory

Locations

2030 NW 22nd Ave
Miami, FL 33142
Phone (305) 631-2963

NPI Registry JSON

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

{
    "created_epoch": "1452816000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1452816000000",
    "number": "1295192664",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2030 NW 22ND AVE",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331427338",
            "telephone_number": "305-631-2963",
            "fax_number": "786-536-6291"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2030 NW 22ND AVE",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331427338",
            "telephone_number": "305-631-2963",
            "fax_number": "786-536-6291"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EMPIRE DENTISTRY CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-01-15",
        "last_updated": "2016-01-15",
        "status": "A",
        "authorized_official_last_name": "CALLAVA",
        "authorized_official_first_name": "NINO",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "305-631-2963",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "NU",
            "license": null,
            "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 15, 2016; 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.