Flagler Dental Clinic of Miami, Inc.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DN0013301 Issued in FL

Legal business name

FLAGLER DENTAL CLINIC OF MIAMI, INC.

Practice address

11373 W Flagler St
Suite 214
Miami, FL 33174-4203

Phone

(305) 554-4304

Fax

(305) 554-4326

NPI assigned

May 5, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Evelyn Ortega Caballero, D.D.S.NPI 1508064676

Title

President/Owner

Phone

(305) 554-4304

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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

• Evelyn Ortega Caballero, D.D.S.

  • General Practice Dentistry
  • Miami, FL
  • NPI 1508064676
  NPD (past) Authorized official

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

{
    "created_epoch": "1209945600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1209945600000",
    "number": "1316113996",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11373 W FLAGLER ST",
            "address_2": "SUITE 214",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331744203",
            "telephone_number": "305-554-4304",
            "fax_number": "305-554-4326"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11373 W FLAGLER ST",
            "address_2": "SUITE 214",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331744203",
            "telephone_number": "305-554-4304",
            "fax_number": "305-554-4326"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FLAGLER DENTAL CLINIC OF MIAMI, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-05",
        "last_updated": "2008-05-05",
        "status": "A",
        "authorized_official_last_name": "CABALLERO",
        "authorized_official_first_name": "EVELYN",
        "authorized_official_middle_name": "ORTEGA",
        "authorized_official_title_or_position": "PRESIDENT/OWNER",
        "authorized_official_telephone_number": "305-554-4304",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "FL",
            "license": "DN0013301",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Flagler Center for ABA, Corp.
• Flagler Center Rehab, Inc
• Flagler Clinic Center Corp
• Flagler Clinic Center Corp
• Flagler Dental Care
• Flagler Diagnostic Center Inc
• Flagler Diagnostic Center Inc
• Flagler Discount Pharmacy Inc
• Flagler DME Supplies LLC
• Flagler Eye Care,Inc.

• General Practice Dentistry in Miami, FL
• Providers in Miami, FL by specialty
• General Practice Dentistry in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 2008; 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.