Miami Lakes Periodontal Associates

Primary specialty

PeriodonticsTaxonomy code 1223P0300X

License

DN10470 Issued in FL

Legal business name

MIAMI LAKES PERIODONTAL ASSOCIATES

Practice address

7735 NW 146TH St Ste 104
Miami Lakes, FL 33016-1583

Phone

(305) 556-7010

NPI assigned

Aug 14, 2008

Last updated

Aug 14, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Robert A Del Castillo, D.M.D.,P.A.NPI 1770681082

Title

Owner

Phone

(305) 556-7010

Specialties & licenses 3

Addresses

Locations

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Robert A Del Castillo, D.M.D.

  • Periodontics
  • Miami Lakes, FL
  • NPI 1770681082
  NPD (past) Authorized official
• Nicole F Besu, D.M.D., M.S.

  • Periodontics
  • Miami Lakes, FL
  • NPI 1154521888
  NPD (past)
• Rutsie A Hernandez, D.M.D

  • General Practice Dentistry
  • Miami Lakes, FL
  • NPI 1245338565
  NPD (past)
• Rebecca Navarro, DDS

  • General Practice Dentistry
  • Miami Lakes, FL
  • NPI 1689083834
  NPD (past)

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

{
    "created_epoch": "1218672000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1218672000000",
    "number": "1366698953",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7735 NW 146TH ST STE 104",
            "city": "MIAMI LAKES",
            "state": "FL",
            "postal_code": "330161583",
            "telephone_number": "305-556-7010"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7735 NW 146TH ST STE 104",
            "city": "MIAMI LAKES",
            "state": "FL",
            "postal_code": "330161583",
            "telephone_number": "305-556-7010"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIAMI LAKES PERIODONTAL ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-08-14",
        "last_updated": "2008-08-14",
        "status": "A",
        "authorized_official_last_name": "DEL CASTILLO",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "305-556-7010",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.M.D.,P.A."
    },
    "taxonomies": [
        {
            "code": "1223E0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Endodontics",
            "state": "FL",
            "license": "DN16708",
            "primary": false
        },
        {
            "code": "1223P0300X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Periodontics",
            "state": "FL",
            "license": "DN10470",
            "primary": true
        },
        {
            "code": "1223P0300X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Periodontics",
            "state": "FL",
            "license": "DN16664",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Miami Lakes Med Spa LLC (Contigo Medical Center)
• Miami Lakes Medical Center, LLC
• Miami Lakes Medical Supplies, Inc.
• Miami Lakes Pediatrics PLLC
• Miami Lakes Periodontal and Cosmetic Center
• Miami Lakes Rehab & Sports Therapy Center, Inc.
• Miami Lakes Rehab Services Inc
• Miami Lakes Senior Care, Inc.
• Michael C White DC PA (Chiropractic and Rehabilitation of Miami Lakes)
• Jean L Michel Vidal

• Periodontics in Miami Lakes, FL
• Providers in Miami Lakes, FL by specialty
• Periodontics in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2008; 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.