Jose Antonio Mendigutia, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DN0012604 Issued in FL

Practice address

1410 W 68TH St
1410 West 68 Street
Hialeah, FL 33014-4527

Phone

(305) 557-6968

Fax

(305) 557-1646

NPI assigned

Mar 8, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

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 and National Provider Directory roles.

• People First Dentistry, PLLC

  • Dental Clinic/Center
  • Miami, FL
  • NPI 1982213518
  NPD (past)

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

{
    "created_epoch": "1173312000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1396876991",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1410 WEST 68 STREET",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "33014",
            "telephone_number": "305-557-6968",
            "fax_number": "305-557-1646"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1410 W 68TH ST",
            "address_2": "1410 WEST 68 STREET",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330144527",
            "telephone_number": "305-557-6968",
            "fax_number": "305-557-1646"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MENDIGUTIA",
        "first_name": "JOSE",
        "middle_name": "ANTONIO",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-03-08",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "FL",
            "license": "DN0012604",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Oly M Mendez, ARNP
• Rosa M Mendez, DDS
• Vanessa Mendez, M.D
• Yohanka Mendez
• Yolexy Beatriz Mendez
• Stacey Ann Mendigutia, DMD
• Stephanie Ann Mendigutia, DMD
• Lazaro Osmel Mendiondo Vigil
• Niurka De Las Mercedes Mendoza Castell
• Jose Carlos Mendoza Cortez

• General Practice Dentistry in Hialeah, FL
• Providers in Hialeah, 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 Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.