Kristian Poventud, DMD

Primary specialty

PeriodonticsTaxonomy code 1223P0300X

License

DN24437 Issued in FL

Practice address

7600 S Red Rd Ste 216
South Miami, FL 33143-5408

Phone

(305) 665-6575

NPI assigned

Mar 16, 2014

Last updated

Sep 5, 2025By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Periodontal Solutions of South Florida

  • Periodontics
  • South Miami, FL
  • NPI 1962501411
  NPD (past)

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

{
    "created_epoch": "1394928000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757030400000",
    "number": "1396161204",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7600 S RED RD STE 216",
            "city": "SOUTH MIAMI",
            "state": "FL",
            "postal_code": "331435408",
            "telephone_number": "787-462-2323"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7600 S RED RD STE 216",
            "city": "SOUTH MIAMI",
            "state": "FL",
            "postal_code": "331435408",
            "telephone_number": "305-665-6575"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POVENTUD",
        "first_name": "KRISTIAN",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-03-16",
        "last_updated": "2025-09-05",
        "certification_date": "2025-09-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0300X",
            "taxonomy_group": "",
            "desc": "Dentist, Periodontics",
            "state": "FL",
            "license": "DN24437",
            "primary": true
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• George Richard Porta, L.C.S.W.
• Jennifer Marie Portogues, APRN
• Alexander Portugal, MD
• Sujan Poudel
• Jitomol Poulose, MD
• Johnsy Pradhan, MD
• Maria Prado
• Prana Rheumatology PLLC (Prana Rheumatology & Wellness)
• Sushama Prasad, APRN
• Adesh Prashad, DO

• Periodontics in South Miami, FL
• Providers in South Miami, FL by specialty
• Periodontics in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 2025; 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.