Organization Active NPI

North Miami Dental, Inc

  • Dentist
  • North Miami, FL
National Provider Identifier
1306189386
Registry record updated Mar 28, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
DN0014786 Issued in FL
Legal business name
NORTH MIAMI DENTAL, INC
Practice address
610 NE 124TH St
North Miami, FL 33161-5523
Phone
(305) 893-5433
Fax
(305) 893-4475
NPI assigned
Mar 28, 2013
Organization subpart
Yes
Parent organization
NORTH MIAMI DENTAL, INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Mar 28, 2013

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

Authorized official

Name
Ms. Denise Robinson
Title
Office Manager
Phone
(305) 893-5433

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 122300000X DN0014786 FL Primary

Addresses

Primary practice location

610 NE 124TH St
North Miami, FL 33161-5523

Mailing address

610 NE 124TH St
North Miami, FL 33161-5523
Phone (305) 893-5433

Other identifiers 1

IdentifierTypeStateIssuer
1588890321MedicaidFL

National Provider Directory

National Provider Directory
Part of
North Miami Dental Inc

Locations

610 NE 124th St
North Miami, FL 33161
Phone (305) 893-5433

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1364428800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1364428800000",
    "number": "1306189386",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "610 NE 124TH ST",
            "city": "NORTH MIAMI",
            "state": "FL",
            "postal_code": "331615523",
            "telephone_number": "305-893-5433",
            "fax_number": "305-893-4475"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "610 NE 124TH ST",
            "city": "NORTH MIAMI",
            "state": "FL",
            "postal_code": "331615523",
            "telephone_number": "305-893-5433",
            "fax_number": "305-893-4475"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTH MIAMI DENTAL, INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "NORTH MIAMI DENTAL, INC.",
        "enumeration_date": "2013-03-28",
        "last_updated": "2013-03-28",
        "status": "A",
        "authorized_official_last_name": "ROBINSON",
        "authorized_official_first_name": "DENISE",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "305-893-5433",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "FL",
            "license": "DN0014786",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1588890321",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in North Miami, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 2013; 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.