Individual provider Active NPI

Sylvan Fain, DDS

  • General Practice Dentistry
  • North Miami, FL
National Provider Identifier
1366613036
Registry record updated Mar 10, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DN16959 Issued in FL
Practice address
11645 Biscayne Blvd
Suite 407
North Miami, FL 33181-3155
Phone
(305) 891-2621
Fax
(305) 891-7279
NPI assigned
Mar 20, 2008
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 10, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X DN16959 FL Primary

Addresses

Primary practice location

11645 Biscayne Blvd
Suite 407
North Miami, FL 33181-3155

Mailing address

11645 Biscayne Blvd
Suite 407
North Miami, FL 33181-3155
Phone (305) 891-2621

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150710001042 FL Order and Referring Only - Oral SurgeryPractitioner - Oral Surgery 6002128691

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DN16959FLMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Sylvan Fain DDS PA Past Accepting new patients
Leonard D Efrom DDS PA General Practice Past Accepting new patients

Organizations & group practices 2

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": "1205971200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1268179200000",
    "number": "1366613036",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11645 BISCAYNE BLVD",
            "address_2": "SUITE 407",
            "city": "NORTH MIAMI",
            "state": "FL",
            "postal_code": "331813155",
            "telephone_number": "305-891-2621",
            "fax_number": "305-891-7279"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11645 BISCAYNE BLVD",
            "address_2": "SUITE 407",
            "city": "NORTH MIAMI",
            "state": "FL",
            "postal_code": "331813155",
            "telephone_number": "305-891-2621",
            "fax_number": "305-891-7279"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FAIN",
        "first_name": "SYLVAN",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-03-20",
        "last_updated": "2010-03-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "FL",
            "license": "DN16959",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Miami, FL

Sources for this page

Verify at the official NPI Registry.