Individual provider Active NPI

Adela Haratz, DDS

  • Dentist
  • Aventura, FL
National Provider Identifier
1316187784
Registry record updated Sep 21, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
DN19551 Issued in FL
Practice address
3040 NE 190TH St
Apt# 304
Aventura, FL 33180-3141
Phone
(754) 423-5416
NPI assigned
Feb 25, 2009
Last updated
Sep 21, 2011By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 21, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X DN19551 FL Primary

Addresses

Primary practice location

3040 NE 190TH St
Apt# 304
Aventura, FL 33180-3141

Mailing address

3040 NE 190TH St
Apt# 304
Aventura, FL 33180-3141
Phone (754) 423-5416

Other names 1

  • Dr. Adela Haratz Former name

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

LicenseStateTypeSpecialty
DN19551FLMDDentist

NPI Registry JSON

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

{
    "created_epoch": "1235520000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1316563200000",
    "number": "1316187784",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3040 NE 190TH ST",
            "address_2": "APT# 304",
            "city": "AVENTURA",
            "state": "FL",
            "postal_code": "331803141",
            "telephone_number": "754-423-5416"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3040 NE 190TH ST",
            "address_2": "APT# 304",
            "city": "AVENTURA",
            "state": "FL",
            "postal_code": "331803141",
            "telephone_number": "754-423-5416"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARATZ",
        "first_name": "ADELA",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-02-25",
        "last_updated": "2011-09-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "FL",
            "license": "DN19551",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ADELA",
            "last_name": "HARATZ",
            "prefix": "DR.",
            "credential": "DDS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Aventura, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 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.

Verify at the official NPI Registry.