Active NPI
Jordan Hekmati, DDS
- Periodontics
- North Miami Beach, FL
National Provider Identifier
1356032221
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Periodontics
- License
- DN25356
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | DN25356 | FL | |
| Periodontics | 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
| License | State | Type | Specialty |
|---|---|---|---|
| DN25356 | FL | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sage Dental of N. Miami Beach, P.a. | General Practice | Past | 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.
-
- General Practice Dentistry
- N Miami Beach, FL
- NPI 1225233943
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.