Frederick Jose Nin, D.D.S

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DN13234 Issued in FL

Practice address

9425 NE 6TH Ave
Miami Shores, FL 33138-2737

Phone

(305) 758-8755

Fax

(305) 758-8740

NPI assigned

May 18, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1179446400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1326256934",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9425 NE 6TH AVE",
            "city": "MIAMI SHORES",
            "state": "FL",
            "postal_code": "331382737",
            "telephone_number": "305-758-8755",
            "fax_number": "305-758-8740"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9425 NE 6TH AVE",
            "city": "MIAMI SHORES",
            "state": "FL",
            "postal_code": "331382737",
            "telephone_number": "305-758-8755",
            "fax_number": "305-758-8740"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NIN",
        "first_name": "FREDERICK",
        "middle_name": "JOSE",
        "name_prefix": "Dr.",
        "credential": "D.D.S",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-05-18",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "FL",
            "license": "DN13234",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ruben R Moss, D.C.
• Natasha Myers, PHARMD
• Nangi Shores Medical Group
• Paige I Neufeld, PA-C
• Nexus Medical Group of Miami Shores LLC
• NJC Foot & Ankle Surgical Specialists
• Essence R Nobles
• North Shore Medical Center Corp
• Victoria Novikova
• Onyeka Nwokocha, M.D.

• General Practice Dentistry in Miami Shores, FL
• Providers in Miami Shores, 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 Jul 8, 2007; 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.