Maidelys Oliva DMD PA

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

Legal business name

MAIDELYS OLIVA DMD PA

Practice address

7920 Miami Lakes Drive West
Unit 120
Miami Lakes, FL 33016

Phone

(305) 424-7588

NPI assigned

Jul 10, 2023

Organization subpart

No

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

Authorized official

Name

Maidelys Oliva, DMDNPI 1730597253

Title

President

Phone

(305) 791-4518

Specialties & licenses 1

Addresses

Other names 1

• Olive Tree Pediatric Dentistry Doing business as

Locations

Practitioners 1

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

• Maidelys Oliva, DMD

  • Pediatric Dentistry
  • Miami Lakes, FL
  • NPI 1730597253
  NPD Authorized official

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

{
    "created_epoch": "1688947200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1693526400000",
    "number": "1346928363",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7920 MIAMI LAKES DRIVE WEST",
            "address_2": "SUITE 120",
            "city": "MIAMI LAKES",
            "state": "FL",
            "postal_code": "33016"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7920 MIAMI LAKES DRIVE WEST",
            "address_2": "UNIT 120",
            "city": "MIAMI LAKES",
            "state": "FL",
            "postal_code": "33016",
            "telephone_number": "305-424-7588"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAIDELYS OLIVA DMD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-07-10",
        "last_updated": "2023-09-01",
        "certification_date": "2023-08-31",
        "status": "A",
        "authorized_official_last_name": "OLIVA",
        "authorized_official_first_name": "MAIDELYS",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "305-791-4518",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Olive Tree Pediatric Dentistry",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Olive Tree Pediatric Dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Magic World Ppec LLC
• Magic World Transport LLC
• Magna Physical Therapy, LLC
• Sharon Mahabir
• David CHI Mai, D.P.M.
• Main Street Children'S Dentistry of Miami Lakes, PLLC
• Main Street Orthodontics of Miami Lakes, P.a.
• Main Street Orthodontics of Miami Lakes, PA
• Maju'S Home Care, Inc.
• Yusnely Makence Letts

• Pediatric Dentistry in Miami Lakes, FL
• Providers in Miami Lakes, FL by specialty
• Pediatric Dentistry in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 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.