Active NPI
Edwin E. Fabrega, D.D.S.
- Endodontics
- Miami, FL
National Provider Identifier
1346467552
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Endodontics
- License
- DN0012453
- Practice address
- 7800 SW 87TH Ave
Suite a-150
Miami, FL 33173-3570 - Phone
- (305) 598-6200
- Fax
- (305) 598-8253
- NPI assigned
- Apr 19, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Endodontics | 1223E0200X | DN0012453 | FL | Primary |
Addresses
Primary practice location
7800 SW 87TH Ave
Suite a-150
Miami, FL 33173-3570
Mailing address
7800 SW 87TH Ave
Suite a-150
Miami, FL 33173-3570
Phone (305) 598-6200
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 901308 | Other | FL | PMI DELTACARE |
| 601668 | Other | FL | COMPBENEFITS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Feb 10, 2022 through Feb 10, 2028
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DN0012453 | FL | MD | Endodontist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Endodontic Specialty Services, PA | Endodontics | Past | Accepting new patients |
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 and National Provider Directory roles.
-
- Endodontics
- Miami, FL
- NPI 1386783231
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1176940800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1346467552",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7800 SW 87TH AVE",
"address_2": "SUITE A-150",
"city": "MIAMI",
"state": "FL",
"postal_code": "331733570",
"telephone_number": "305-598-6200",
"fax_number": "305-598-8253"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7800 SW 87TH AVE",
"address_2": "SUITE A-150",
"city": "MIAMI",
"state": "FL",
"postal_code": "331733570",
"telephone_number": "305-598-6200",
"fax_number": "305-598-8253"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FABREGA",
"first_name": "EDWIN",
"middle_name": "E.",
"name_prefix": "Dr.",
"credential": "D.D.S.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-04-19",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1223E0200X",
"taxonomy_group": "",
"desc": "Dentist, Endodontics",
"state": "FL",
"license": "DN0012453",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PMI DELTACARE",
"identifier": "901308",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "COMPBENEFITS",
"identifier": "601668",
"state": "FL"
}
],
"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 Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.