Organization Active NPI

Kendall Dental Corp.

Doing business as Dental American Group

  • General Practice Dentistry
  • Miami, FL
National Provider Identifier
1396042651
Registry record updated Feb 23, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
KENDALL DENTAL CORP.
Doing business as
Dental American Group
Practice address
13632 N Kendall Dr
Miami, FL 33186-1567
Phone
(305) 512-4589
Fax
(305) 512-8767
NPI assigned
Feb 23, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 23, 2011

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

Authorized official

Name
Mrs. Lilian Gonzalez, DDS
Title
Owner
Phone
(305) 512-4589

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223G0001X Primary

Addresses

Primary practice location

13632 N Kendall Dr
Miami, FL 33186-1567

Mailing address

13632 N Kendall Dr
Miami, FL 33186-1567

Other names 1

  • Dental American Group Doing business as

National Provider Directory

National Provider Directory

Locations

13632 SW 88th St
Miami, FL 33186
Phone (305) 385-1442

NPI Registry JSON

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

{
    "created_epoch": "1298419200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1298419200000",
    "number": "1396042651",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13632 N KENDALL DR",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331861567"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13632 N KENDALL DR",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331861567",
            "telephone_number": "305-512-4589",
            "fax_number": "305-512-8767"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KENDALL DENTAL CORP.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-02-23",
        "last_updated": "2011-02-23",
        "status": "A",
        "authorized_official_last_name": "GONZALEZ",
        "authorized_official_first_name": "LILIAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "305-512-4589",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Dental American Group",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Feb 23, 2011; 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.