Individual provider Active NPI

John Niven, M.D.

  • Dermatology Physician
  • Miami Beach, FL
National Provider Identifier
1336167634
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
ME20864 Issued in FL
Practice address
1111 Lincoln Rd
375
Miami Beach, FL 33139-2452
Phone
(305) 672-7058
Fax
(305) 672-7969
NPI assigned
Jul 17, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X ME20864 FL Primary

Addresses

Primary practice location

1111 Lincoln Rd
375
Miami Beach, FL 33139-2452

Mailing address

1111 Lincoln Rd
375
Miami Beach, FL 33139-2452
Phone (305) 672-7058

Other identifiers 1

IdentifierTypeStateIssuer
058956000MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110503000406 FL Practitioner - Dermatology 2668657800

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
ME20864FLMDDermatology Physician

NPI Registry JSON

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

{
    "created_epoch": "1153094400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1336167634",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1111 LINCOLN RD",
            "address_2": "375",
            "city": "MIAMI BEACH",
            "state": "FL",
            "postal_code": "331392452",
            "telephone_number": "305-672-7058",
            "fax_number": "305-672-7969"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1111 LINCOLN RD",
            "address_2": "375",
            "city": "MIAMI BEACH",
            "state": "FL",
            "postal_code": "331392452",
            "telephone_number": "305-672-7058",
            "fax_number": "305-672-7969"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NIVEN",
        "first_name": "JOHN",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-17",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "FL",
            "license": "ME20864",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "058956000",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami Beach, FL

Sources for this page

Verify at the official NPI Registry.