NPIMap

Organization Active NPI

Superior Dental Team LLC

  • Exclusive Provider Organization
  • Hialeah, FL
National Provider Identifier
1366835860
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Exclusive Provider OrganizationTaxonomy code 302F00000X
Legal business name
SUPERIOR DENTAL TEAM LLC
Practice address
148 Hialeah Dr
Hialeah, FL 33010-5250
Phone
(786) 360-6262
NPI assigned
Mar 9, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Dr. Pedro Lleo, DDS
Title
Dentist
Phone
(786) 360-6262

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Exclusive Provider Organization 302F00000X FL Primary

Addresses

Primary practice location

148 Hialeah Dr
Hialeah, FL 33010-5250

Mailing address

148 Hialeah Dr
Hialeah, FL 33010-5250
Phone (786) 360-6262

Other names 1

  • Superior Dental Team Inc Doing business as

National Provider Directory

National Provider Directory

Locations

148 Hialeah Dr
Hialeah, FL 33010
Phone (786) 360-6262

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1425859200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1366835860",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "148 HIALEAH DR",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330105250",
            "telephone_number": "786-360-6262"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "148 HIALEAH DR",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330105250",
            "telephone_number": "786-360-6262"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUPERIOR DENTAL TEAM LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-03-09",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "LLEO",
        "authorized_official_first_name": "PEDRO",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "786-360-6262",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "302F00000X",
            "taxonomy_group": "",
            "desc": "Exclusive Provider Organization",
            "state": "FL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Superior Dental Team Inc",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Hialeah, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.