Individual provider Active NPI

Danae Vital, D.D.S.

  • Dentist
  • Miami, FL
National Provider Identifier
1376773895
Registry record updated Apr 28, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
DN18585 Issued in FL
Practice address
1250 SW 27TH Ave Ste 206
Miami, FL 33135-4748
Phone
(305) 649-2231
Fax
(305) 541-0253
NPI assigned
Jul 17, 2009
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 28, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X DN18585 FL Primary

Addresses

Primary practice location

1250 SW 27TH Ave Ste 206
Miami, FL 33135-4748

Mailing address

8910 NW 162ND Ter
Hialeah, FL 33018-6108
Phone (305) 819-7398

Other practice location 1

19517 NW 57th Ave
Miami Gardens, FL 33055-4709
Phone (305) 621-3111

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
DN18585FLMDDentist

NPI Registry JSON

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

{
    "created_epoch": "1247788800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1651104000000",
    "number": "1376773895",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8910 NW 162ND TER",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330186108",
            "telephone_number": "305-819-7398"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1250 SW 27TH AVE STE 206",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331354748",
            "telephone_number": "305-649-2231",
            "fax_number": "305-541-0253"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "19517 NW 57th Ave",
            "address_purpose": "LOCATION",
            "city": "Miami Gardens",
            "state": "FL",
            "postal_code": "330554709",
            "country_code": "US",
            "telephone_number": "305-621-3111",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VITAL",
        "first_name": "DANAE",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-07-17",
        "last_updated": "2022-04-28",
        "certification_date": "2022-04-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "FL",
            "license": "DN18585",
            "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 Apr 28, 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.