Organization Active NPI

Childrens Dentistry of America Biscayne LLC

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Miami Shores, FL
National Provider Identifier
1346952579
Registry record updated Dec 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
Legal business name
CHILDRENS DENTISTRY OF AMERICA BISCAYNE LLC
Practice address
9425 NE 6TH Ave
Miami Shores, FL 33138-2737
Phone
(954) 775-0723
Fax
(754) 241-0242
NPI assigned
Dec 19, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 21, 2022

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

Authorized official

Name
Gisleda A Ramos, DDS MS
Title
Owner
Phone
(772) 485-9759

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthodontics and Dentofacial Orthopedics DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223X0400X Primary

Addresses

Primary practice location

9425 NE 6TH Ave
Miami Shores, FL 33138-2737

Mailing address

9425 NE 6TH Ave
Miami Shores, FL 33138-2737
Phone (954) 775-0723

Other identifiers 1

IdentifierTypeStateIssuer
101344800MedicaidFL

National Provider Directory

National Provider Directory

Locations

9425 NE 6th Ave
Miami Shores, FL 33138
Phone (305) 758-8755

NPI Registry JSON

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

{
    "created_epoch": "1671408000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1671580800000",
    "number": "1346952579",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9425 NE 6TH AVE",
            "city": "MIAMI SHORES",
            "state": "FL",
            "postal_code": "331382737",
            "telephone_number": "954-775-0723",
            "fax_number": "754-241-0242"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9425 NE 6TH AVE",
            "city": "MIAMI SHORES",
            "state": "FL",
            "postal_code": "331382737",
            "telephone_number": "954-775-0723",
            "fax_number": "754-241-0242"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHILDRENS DENTISTRY OF AMERICA BISCAYNE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-12-19",
        "last_updated": "2022-12-21",
        "certification_date": "2022-12-21",
        "status": "A",
        "authorized_official_last_name": "RAMOS",
        "authorized_official_first_name": "GISLEDA",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "772-485-9759",
        "authorized_official_credential": "DDS MS"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "101344800",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami Shores, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 21, 2022; 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.