Organization Active NPI

Bedside Dental Services

  • Public Health Dentistry
  • Miami, FL
National Provider Identifier
1326655408
Registry record updated Sep 23, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Public Health DentistryTaxonomy code 1223D0001X
Legal business name
BEDSIDE DENTAL SERVICES
Practice address
15654 SW 14TH St
Miami, FL 33194-2627
Phone
(786) 247-8253
NPI assigned
Sep 23, 2020
Last updated
Sep 23, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 23, 2020

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

Authorized official

Name
Reinaldo Perez, DMDNPI 1447764931
Title
Dentist
Phone
(786) 247-8253

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Public Health Dentistry 1223D0001X NU Primary

Addresses

Primary practice location

15654 SW 14TH St
Miami, FL 33194-2627

Mailing address

15654 SW 14TH St
Miami, FL 33194-2627
Phone (786) 247-8253

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1600819200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1600819200000",
    "number": "1326655408",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15654 SW 14TH ST",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331942627",
            "telephone_number": "786-247-8253"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15654 SW 14TH ST",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331942627",
            "telephone_number": "786-247-8253"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BEDSIDE DENTAL SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-09-23",
        "last_updated": "2020-09-23",
        "certification_date": "2020-09-23",
        "status": "A",
        "authorized_official_last_name": "PEREZ",
        "authorized_official_first_name": "REINALDO",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "786-247-8253",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223D0001X",
            "taxonomy_group": "",
            "desc": "Dentist, Dental Public Health",
            "state": "NU",
            "license": null,
            "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 Sep 23, 2020; 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.