Organization Active NPI

Fernandezdentpa

  • Dental Clinic/Center
  • Miami, FL
National Provider Identifier
1386134500
Registry record updated May 14, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
License
DN20110 Issued in FL
Legal business name
FERNANDEZDENTPA
Practice address
11776 SW 88TH St
Miami, FL 33186-2102
Phone
(786) 873-6051
NPI assigned
May 14, 2018
Last updated
May 14, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 14, 2018

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

Authorized official

Name
Dr. Yeny FernandezNPI 1861784688
Title
Dentist Owner
Phone
(786) 873-6051

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X DN20110 FL Primary

Addresses

Primary practice location

11776 SW 88TH St
Miami, FL 33186-2102

Mailing address

10985 SW 48TH St
Miami, FL 33165-6114
Phone (786) 873-6051

National Provider Directory

National Provider Directory

Locations

11776 SW 88th St
Miami, FL 33186
Phone (786) 708-4424

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1526256000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1526256000000",
    "number": "1386134500",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10985 SW 48TH ST",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331656114",
            "telephone_number": "786-873-6051"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11776 SW 88TH ST",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331862102",
            "telephone_number": "786-873-6051"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FERNANDEZDENTPA",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-05-14",
        "last_updated": "2018-05-14",
        "status": "A",
        "authorized_official_last_name": "FERNANDEZ",
        "authorized_official_first_name": "YENY",
        "authorized_official_title_or_position": "DENTIST OWNER",
        "authorized_official_telephone_number": "786-873-6051",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "FL",
            "license": "DN20110",
            "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 May 14, 2018; 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.