Individual provider Active NPI

Dolcie Elizabeth Chin, D.D.S.

  • General Practice Dentistry
  • Village of Palmetto Bay, FL
National Provider Identifier
1346465226
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DN12293 Issued in FL
Practice address
9275 SW 152ND St
Suite 104
Village of Palmetto Bay, FL 33157-1701
Phone
(305) 235-3909
Fax
(305) 235-3030
NPI assigned
Apr 16, 2007
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Female
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
General Practice Dentistry 1223G0001X DN12293 FL Primary

Addresses

Primary practice location

9275 SW 152ND St
Suite 104
Village of Palmetto Bay, FL 33157-1701

Mailing address

9275 SW 152ND St
Suite 104
Village of Palmetto Bay, FL 33157-1701
Phone (305) 235-3909

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: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160122000723 FL Order and Referring Only - DentistPractitioner - Dentist 1355644592

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DN12293FLMDGeneral Practice Dentistry

NPI Registry JSON

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

{
    "created_epoch": "1176681600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1346465226",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9275 SW 152ND ST",
            "address_2": "SUITE 104",
            "city": "VILLAGE OF PALMETTO BAY",
            "state": "FL",
            "postal_code": "331571701",
            "telephone_number": "305-235-3909",
            "fax_number": "305-235-3030"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9275 SW 152ND ST",
            "address_2": "SUITE 104",
            "city": "VILLAGE OF PALMETTO BAY",
            "state": "FL",
            "postal_code": "331571701",
            "telephone_number": "305-235-3909",
            "fax_number": "305-235-3030"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHIN",
        "first_name": "DOLCIE",
        "middle_name": "ELIZABETH",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-04-16",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "FL",
            "license": "DN12293",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Village of Palmetto Bay, FL

Sources for this page

Verify at the official NPI Registry.