South Dental Homestead

Primary specialty

DentistTaxonomy code 122300000X

License

13563 Issued in FL

Legal business name

SOUTH DENTAL HOMESTEAD

Practice address

925 NE 30TH Ter Ste 104
Homestead, FL 33033-7614

Phone

(305) 508-7800

Fax

(305) 508-7300

NPI assigned

Sep 26, 2008

Last updated

Sep 26, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Jahn Oppenheimer, DDS

Title

Owner

Phone

(305) 388-7599

Specialties & licenses 1

Addresses

Locations

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.

• Neysi Hernandez

  • Dentist
  • Homestead, FL
  • NPI 1558522953
  NPD (past)

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

{
    "created_epoch": "1222387200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1222387200000",
    "number": "1346490216",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "925 NE 30TH TER STE 104",
            "city": "HOMESTEAD",
            "state": "FL",
            "postal_code": "330337614",
            "telephone_number": "305-508-7800",
            "fax_number": "305-508-7300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "925 NE 30TH TER STE 104",
            "city": "HOMESTEAD",
            "state": "FL",
            "postal_code": "330337614",
            "telephone_number": "305-508-7800",
            "fax_number": "305-508-7300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTH DENTAL HOMESTEAD",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-09-26",
        "last_updated": "2008-09-26",
        "status": "A",
        "authorized_official_last_name": "OPPENHEIMER",
        "authorized_official_first_name": "JAHN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "305-388-7599",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "FL",
            "license": "13563",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kiara Soutar
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• South Dade Medical Group LLP
• South Dade Orthopedic- Homestead
• South Florida Behavioral Community Center Inc
• South Florida Community Services LLC
• South Florida Foot & Ankle Institute, LLC
• South Florida Home Medical Services LLC
• South Florida International Orthopaedics PA

• Dentist in Homestead, FL
• Providers in Homestead, FL by specialty
• Dentist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2008; 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.