Organization Active NPI

GL Dental Clinic PA

  • General Practice Dentistry
  • Miami, FL
National Provider Identifier
1396965661
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DN15442 Issued in FL
Legal business name
GL DENTAL CLINIC PA
Practice address
780 NW 42ND Avenue
Suite 424
Miami, FL 33126
Phone
(305) 448-3896
Fax
(305) 442-2225
NPI assigned
Apr 27, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Grisel Martos, DMD
Title
Doctor Owner
Phone
(305) 448-3896

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X DN15442 FL Primary

Addresses

Primary practice location

780 NW 42ND Avenue
Suite 424
Miami, FL 33126

Mailing address

780 NW 42ND Avenue
Suite 424
Miami, FL 33126
Phone (305) 448-3896

Other names 1

  • Grisel Martos DMD Other name

National Provider Directory

National Provider Directory

Locations

780 NW 42nd Ave
Ste 424
Miami, FL 33126
Phone (305) 448-3896

NPI Registry JSON

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

{
    "created_epoch": "1177632000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1396965661",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "780 NW 42ND AVENUE",
            "address_2": "SUITE 424",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "33126",
            "telephone_number": "305-448-3896",
            "fax_number": "305-442-2225"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "780 NW 42ND AVENUE",
            "address_2": "SUITE 424",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "33126",
            "telephone_number": "305-448-3896",
            "fax_number": "305-442-2225"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GL DENTAL CLINIC PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-27",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MARTOS",
        "authorized_official_first_name": "GRISEL",
        "authorized_official_title_or_position": "DOCTOR OWNER",
        "authorized_official_telephone_number": "305-448-3896",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "FL",
            "license": "DN15442",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Grisel Martos DMD",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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 Aug 22, 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.