Active NPI
Alexandra Diana Gherbali, DDS
- Dentist
- Miami Lakes, FL
National Provider Identifier
1386841690
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- DN17624
- Practice address
- 7415 Miami Lakes Drive
Miami Lakes, FL 33014 - Phone
- (305) 512-0066
- NPI assigned
- Jun 29, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | DN17624 | FL | Primary |
Addresses
Primary practice location
7415 Miami Lakes Drive
Miami Lakes, FL 33014
Mailing address
3400 NE 192ND St Apt 1003
Aventura, FL 33180-2458
Phone (305) 318-2622
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
| License | State | Type | Specialty |
|---|---|---|---|
| DN17624 | FL | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1183075200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1239235200000",
"number": "1386841690",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3400 NE 192ND ST APT 1003",
"city": "AVENTURA",
"state": "FL",
"postal_code": "331802458",
"telephone_number": "305-318-2622"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7415 MIAMI LAKES DRIVE",
"city": "MIAMI LAKES",
"state": "FL",
"postal_code": "33014",
"telephone_number": "305-512-0066"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GHERBALI",
"first_name": "ALEXANDRA",
"middle_name": "DIANA",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-06-29",
"last_updated": "2009-04-09",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "FL",
"license": "DN17624",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Miami Lakes, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.