Organization Active NPI

Kenward & Mayoral Dentistry Partnership

  • Dentist
  • Miami, FL
National Provider Identifier
1346847134
Registry record updated Oct 8, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
Legal business name
KENWARD & MAYORAL DENTISTRY PARTNERSHIP
Practice address
8950 SW 74TH CT Ste 1212
Miami, FL 33156-3170
Phone
(305) 670-8088
NPI assigned
Oct 5, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 8, 2020

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

Authorized official

Name
Jesse Mayoral
Title
Administrator
Phone
(305) 670-8088

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X Primary

Addresses

Primary practice location

8950 SW 74TH CT Ste 1212
Miami, FL 33156-3170

Mailing address

8950 SW 74TH CT Ste 1212
Miami, FL 33156-3170
Phone (305) 670-8088

Other names 1

  • Pinecrest Dental Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address smile@pinecrestdental.com

National Provider Directory

National Provider Directory

Locations

8950 SW 74th Ct
Ste 1212
Miami, FL 33156
Phone (305) 670-8088

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1601856000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1602115200000",
    "number": "1346847134",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8950 SW 74TH CT STE 1212",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331563170",
            "telephone_number": "305-670-8088"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8950 SW 74TH CT STE 1212",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331563170",
            "telephone_number": "305-670-8088"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KENWARD & MAYORAL DENTISTRY PARTNERSHIP",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-10-05",
        "last_updated": "2020-10-08",
        "certification_date": "2020-10-08",
        "status": "A",
        "authorized_official_last_name": "MAYORAL",
        "authorized_official_first_name": "JESSE",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "305-670-8088"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "smile@pinecrestdental.com",
            "affiliation": "N",
            "endpointDescription": "email",
            "address_1": "8950 SW 74th Ct Ste 1212",
            "city": "Miami",
            "state": "FL",
            "country_code": "US",
            "postal_code": "331563170",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Pinecrest Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Oct 8, 2020; 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.