NPIMap

Organization Active NPI

Can Community Health, Inc.

  • General Practice Dentistry
  • Miami Gardens, FL
National Provider Identifier
1376110650
Registry record updated Jan 30, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
CAN COMMUNITY HEALTH, INC.
Practice address
18360 NW 47TH Ave
Miami Gardens, FL 33055-2934
Phone
(786) 800-5631
Fax
(888) 285-1741
NPI assigned
Jun 7, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 30, 2024

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

Authorized official

Name
Rishi B Patel
Title
President & Ceo
Phone
(941) 300-4440

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X Primary

Addresses

Primary practice location

18360 NW 47TH Ave
Miami Gardens, FL 33055-2934

Mailing address

PO Box 1000 Dept 394
Memphis, TN 38148-1926
Phone (941) 300-4440

Other identifiers 1

IdentifierTypeStateIssuer
057256030MedicaidFL

National Provider Directory

National Provider Directory
Tax ID family
Comprehensive Care Center Inc North Port34 organizations share this tax ID, including this one

Other organizations with this tax ID 33

Organizations that report the same tax identification number in the National Provider Directory.

View all 33

Locations

18360 NW 47th Ave
Miami Gardens, FL 33055
Phone (786) 800-5631

NPI Registry JSON

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

{
    "created_epoch": "1623024000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1706572800000",
    "number": "1376110650",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1000 DEPT 394",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381481926",
            "telephone_number": "941-300-4440",
            "fax_number": "941-404-1760"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18360 NW 47TH AVE",
            "city": "MIAMI GARDENS",
            "state": "FL",
            "postal_code": "330552934",
            "telephone_number": "786-800-5631",
            "fax_number": "888-285-1741"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAN COMMUNITY HEALTH, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-06-07",
        "last_updated": "2024-01-30",
        "certification_date": "2024-01-30",
        "status": "A",
        "authorized_official_last_name": "PATEL",
        "authorized_official_first_name": "RISHI",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "PRESIDENT & CEO",
        "authorized_official_telephone_number": "941-300-4440"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "057256030",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami Gardens, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 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.

Verify at the official NPI Registry.