Individual provider Active NPI

Osmil Atila Reyes Canals, DDS

  • Dentist
  • Miami, FL
National Provider Identifier
1356732275
Registry record updated Sep 17, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
DN21179 Issued in FL
Practice address
8001 SW 151St CT
Unit 714
Miami, FL 33193-3125
Phone
(786) 295-6363
NPI assigned
Feb 13, 2015
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 17, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X DN21179 FL Primary

Addresses

Primary practice location

8001 SW 151St CT
Unit 714
Miami, FL 33193-3125

Mailing address

8001 SW 151St CT Unit 714
Miami, FL 33193-3125
Phone (786) 295-6363

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
DN21179FLMDDentist

Networks

  • HealthSun Health Plans Network

NPI Registry JSON

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

{
    "created_epoch": "1423785600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1442448000000",
    "number": "1356732275",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8001 SW 151ST CT UNIT 714",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331933125",
            "telephone_number": "786-295-6363"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8001 SW 151ST CT",
            "address_2": "UNIT 714",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331933125",
            "telephone_number": "786-295-6363"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REYES CANALS",
        "first_name": "OSMIL",
        "middle_name": "ATILA",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-02-13",
        "last_updated": "2015-09-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "FL",
            "license": "DN21179",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2015; 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.