Individual provider Active NPI

Giselle Pino Oliva, DDS

  • General Practice Dentistry
  • Miami, FL
National Provider Identifier
1316442734
Registry record updated May 9, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DN25464 Issued in FL
Practice address
300 SW 107TH Ave Ste 203
Miami, FL 33174-3602
Phone
(305) 551-6866
Fax
(786) 605-5566
NPI assigned
Mar 27, 2018
Last updated
May 9, 2022By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 9, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X DN25464 FL Primary

Addresses

Primary practice location

300 SW 107TH Ave Ste 203
Miami, FL 33174-3602

Mailing address

300 SW 107TH Ave Ste 203
Miami, FL 33174-3602
Phone (305) 551-6866

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
DN25464FLMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Nicomedes Berasain, DDS, PA PastSince May 16, 2022 Accepting new patients

Networks

  • HealthSun Health Plans Network

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1522108800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1652054400000",
    "number": "1316442734",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 SW 107TH AVE STE 203",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331743602",
            "telephone_number": "305-551-6866",
            "fax_number": "786-605-5566"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 SW 107TH AVE STE 203",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331743602",
            "telephone_number": "305-551-6866",
            "fax_number": "786-605-5566"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PINO OLIVA",
        "first_name": "GISELLE",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-03-27",
        "last_updated": "2022-05-09",
        "certification_date": "2022-05-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "FL",
            "license": "DN25464",
            "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 May 9, 2022; 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.