Blanca N Acosta Hernandez, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

28364 Issued in FL

Practice address

400 W 65TH St
Hialeah, FL 33012-6640

Phone

(305) 827-0434

NPI assigned

Mar 23, 2021

Sex

Female

Sole proprietor

No

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.

• Acostall Dental LLC

  • General Practice Dentistry
  • Hialeah, FL
  • NPI 1801758487

  General Practice

  NPD Authorized official

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Aug 7, 2023.

{
    "created_epoch": "1616457600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1691366400000",
    "number": "1346826880",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19592 NW 82ND PL",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330155992",
            "telephone_number": "786-870-2897"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 W 65TH ST",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330126640",
            "telephone_number": "305-827-0434"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ACOSTA HERNANDEZ",
        "first_name": "BLANCA",
        "middle_name": "N",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-03-23",
        "last_updated": "2023-08-07",
        "certification_date": "2023-08-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "FL",
            "license": "28364",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Miami",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "1611 NW 12th Ave",
            "city": "Miami",
            "state": "FL",
            "country_code": "US",
            "postal_code": "331361005",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Diosmany Acosta Fernandez
• Maday Acosta Fernandez
• Aitana Martha Acosta Govin
• Juan Acosta Guzman, APRN
• Erick Acosta Heredia
• Lazara Ismaray Acosta Imas, RBT
• Heidy Acosta Infante, MD
• Maikel Jesus Acosta Jimenez
• Marisleidy Acosta Jimenez
• Maritza Acosta Jimenez

• All providers in Hialeah, FL
• General Practice Dentistry in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2023; 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.