Individual provider Active NPI

Jordan Hekmati, DDS

  • Periodontics
  • North Miami Beach, FL
National Provider Identifier
1356032221
Registry record updated Mar 25, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
PeriodonticsTaxonomy code 1223P0300X
License
DN25356 Issued in FL
Practice address
850 Ives Dairy Rd Ste T6
North Miami Beach, FL 33179-2412
Phone
(305) 654-9399
NPI assigned
May 19, 2023
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 25, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223G0001X DN25356 FL
PeriodonticsGroup: 193200000X MULTI-SPECIALTY GROUP 1223P0300X DN25356 FL Primary

Addresses

Primary practice location

850 Ives Dairy Rd Ste T6
North Miami Beach, FL 33179-2412

Mailing address

20123 NE 19TH PL
Miami, FL 33179-1610
Phone (516) 965-3764

Other practice location 1

2700 S University Dr Ste 208
Miramar, FL 33025-3015
Phone (954) 271-8042

Other practice location 2

14768 Biscayne Blvd
North Miami, FL 33181-1218
Phone (305) 947-9001

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
DN25356FLMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Sage Dental of N. Miami Beach, P.a. General Practice PastSince May 21, 2023 Accepting new patients

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": "1684454400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1711324800000",
    "number": "1356032221",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20123 NE 19TH PL",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331791610",
            "telephone_number": "516-965-3764"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "850 IVES DAIRY RD STE T6",
            "city": "NORTH MIAMI BEACH",
            "state": "FL",
            "postal_code": "331792412",
            "telephone_number": "305-654-9399"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2700 S University Dr Ste 208",
            "address_purpose": "LOCATION",
            "city": "Miramar",
            "state": "FL",
            "postal_code": "330253015",
            "country_code": "US",
            "telephone_number": "954-271-8042",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "14768 Biscayne Blvd",
            "address_purpose": "LOCATION",
            "city": "North Miami",
            "state": "FL",
            "postal_code": "331811218",
            "country_code": "US",
            "telephone_number": "305-947-9001",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HEKMATI",
        "first_name": "JORDAN",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2023-05-19",
        "last_updated": "2024-03-25",
        "certification_date": "2024-03-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "FL",
            "license": "DN25356",
            "primary": false
        },
        {
            "code": "1223P0300X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Periodontics",
            "state": "FL",
            "license": "DN25356",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Miami Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2024; 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.