Individual provider Active NPI

Jose Serafin Seota, DDS

  • General Practice Dentistry
  • Miami, FL
National Provider Identifier
1346730843
Registry record updated Jan 19, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DN2564 Issued in FL
Practice address
12260 SW 8TH St Ste 226
Miami, FL 33184-1549
Phone
(305) 556-0666
Fax
(305) 553-0933
NPI assigned
May 10, 2018
Last updated
Jan 19, 2021By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 19, 2021

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 DN2564 FL Primary

Addresses

Primary practice location

12260 SW 8TH St Ste 226
Miami, FL 33184-1549

Mailing address

4170 NW 79TH Ave Apt 2B
Doral, FL 33166-6555
Phone (305) 305-1556

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
DN2564FLMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Dental Blush Miami PA CurrentSince Jan 24, 2021 Accepting new patients

Locations

12260 SW 8th St
Ste 226
Miami, FL 33184
Phone (305) 553-0666

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1525910400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1611014400000",
    "number": "1346730843",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4170 NW 79TH AVE APT 2B",
            "city": "DORAL",
            "state": "FL",
            "postal_code": "331666555",
            "telephone_number": "305-305-1556"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12260 SW 8TH ST STE 226",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331841549",
            "telephone_number": "305-556-0666",
            "fax_number": "305-553-0933"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SEOTA",
        "first_name": "JOSE",
        "middle_name": "SERAFIN",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-05-10",
        "last_updated": "2021-01-19",
        "certification_date": "2021-01-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "FL",
            "license": "DN2564",
            "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 Jan 19, 2021; 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.