Dr Nelly Valencia DDS PA

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

DR NELLY VALENCIA DDS PA

Practice address

4011 W Flagler St Ste 201
Coral Gables, FL 33134-1643

Phone

(305) 649-4242

Fax

(305) 508-6620

NPI assigned

Aug 31, 2020

Organization subpart

No

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

Authorized official

Name

Dr. Nelly Valencia, DDS, PANPI 1861600033

Title

Owner/Ceo

Phone

(305) 649-4242

Specialties & licenses 1

Addresses

Locations

Practitioners 2

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

• Nelly Valencia, D.D.S.

  • Dentist
  • Coral Gables, FL
  • NPI 1861600033
  NPD Authorized official
• Yudit Berrio Rey

  • General Practice Dentistry
  • Miami, FL
  • NPI 1841819760
  NPD (past)

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

{
    "created_epoch": "1598832000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598832000000",
    "number": "1386257178",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4011 W FLAGLER ST STE 201",
            "city": "CORAL GABLES",
            "state": "FL",
            "postal_code": "331341643",
            "telephone_number": "305-649-4242",
            "fax_number": "305-508-6620"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4011 W FLAGLER ST STE 201",
            "city": "CORAL GABLES",
            "state": "FL",
            "postal_code": "331341643",
            "telephone_number": "305-649-4242",
            "fax_number": "305-508-6620"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR NELLY VALENCIA DDS PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-08-31",
        "last_updated": "2020-08-31",
        "certification_date": "2020-08-31",
        "status": "A",
        "authorized_official_last_name": "VALENCIA",
        "authorized_official_first_name": "NELLY",
        "authorized_official_title_or_position": "OWNER/CEO",
        "authorized_official_telephone_number": "305-649-4242",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS, PA"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• General Practice Dentistry in Coral Gables, FL
• Providers in Coral Gables, FL by specialty
• General Practice Dentistry in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2020; 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.