Individual provider Active NPI

Elsa Yumar, DMD

  • Dentist
  • Pembroke Pines, FL
National Provider Identifier
1346857133
Registry record updated Sep 25, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
DN25490 Issued in FL
Practice address
8383 Pines Blvd
Pembroke Pines, FL 33024-6607
Phone
(954) 436-8000
NPI assigned
Sep 25, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 25, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X DN25490 FL Primary

Addresses

Primary practice location

8383 Pines Blvd
Pembroke Pines, FL 33024-6607

Mailing address

8981 SW 142ND Ave Apt 12-36
Miami, FL 33186-1218
Phone (786) 208-9477

Other practice location 1

9332 SW 56th St
Miami, FL 33165-6529
Phone (786) 847-0123

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
DN25490FLMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Mileides Pena Marro & Associates DMD., PA Dentist CurrentSince Sep 27, 2020 Accepting new patients

Locations

8383 Pines Blvd
Pembroke Pines, FL 33024
Phone (954) 436-8000

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.

NPI Registry JSON

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

{
    "created_epoch": "1600992000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1600992000000",
    "number": "1346857133",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8981 SW 142ND AVE APT 12-36",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331861218",
            "telephone_number": "786-208-9477"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8383 PINES BLVD",
            "city": "PEMBROKE PINES",
            "state": "FL",
            "postal_code": "330246607",
            "telephone_number": "954-436-8000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9332 SW 56th St",
            "address_purpose": "LOCATION",
            "city": "Miami",
            "state": "FL",
            "postal_code": "331656529",
            "country_code": "US",
            "telephone_number": "786-847-0123",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "YUMAR",
        "first_name": "ELSA",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-09-25",
        "last_updated": "2020-09-25",
        "certification_date": "2020-09-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "FL",
            "license": "DN25490",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pembroke Pines, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 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.