Samar Dental Group

Primary specialty

DentistTaxonomy code 122300000X

License

DN17493 Issued in FL

Legal business name

SAMAR DENTAL GROUP

Practice address

8601 NW 58TH St
Ste. 102
Doral, FL 33166-3311

Phone

(305) 513-4116

Fax

(786) 331-8508

NPI assigned

Sep 28, 2012

Last updated

Sep 28, 2012By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Angela Ospina, D.D.S.

Title

Owner

Phone

(305) 513-4116

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1348790400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1348790400000",
    "number": "1407107584",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8601 NW 58TH ST",
            "address_2": "STE. 102",
            "city": "DORAL",
            "state": "FL",
            "postal_code": "331663311",
            "telephone_number": "305-513-4116",
            "fax_number": "786-331-8508"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8601 NW 58TH ST",
            "address_2": "STE. 102",
            "city": "DORAL",
            "state": "FL",
            "postal_code": "331663311",
            "telephone_number": "305-513-4116",
            "fax_number": "786-331-8508"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAMAR DENTAL GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-09-28",
        "last_updated": "2012-09-28",
        "status": "A",
        "authorized_official_last_name": "OSPINA",
        "authorized_official_first_name": "ANGELA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "305-513-4116",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "FL",
            "license": "DN17493",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0769355-00",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Dentist in Doral, FL
• Providers in Doral, FL by specialty
• Dentist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2012; 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.