Individual provider Active NPI

Nicole Cristine Buzzi, DMD

  • Pediatric Dentistry
  • Miami, FL
National Provider Identifier
1407419229
Registry record updated Oct 4, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
License
D24640 Issued in FL
Practice address
1440 NW N RVR Dr Ste 345
Miami, FL 33125-2894
Phone
(786) 638-2110
NPI assigned
Apr 17, 2019
Reactivated
Jul 17, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 4, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Dentistry 1223P0221X D24640 FL Primary

Addresses

Primary practice location

1440 NW N RVR Dr Ste 345
Miami, FL 33125-2894

Mailing address

1440 NW N RVR Dr Ste 345
Miami, FL 33125-2894

Other practice location 1

557 NE 81st St
Miami, FL 33138-4519
Phone (305) 615-7340

Other practice location 2

18244 NW 27th Ave
Miami Gardens, FL 33056-3501
Phone (305) 454-0911

Other practice location 3

925 NE 30th Ter Ste 302
Homestead, FL 33033-7614
Phone (305) 246-3800

Other practice location 4

17037 S Dixie Hwy
Palmetto Bay, FL 33157-4362
Phone (786) 732-0802

Other practice location 5

7244 W McNab Rd
North Lauderdale, FL 33068-5441
Phone (954) 341-0002

Other practice location 6

9075 SW 162nd Ave Ste 110&112
Miami, FL 33196-6437
Phone (305) 985-1559

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
D24640FLMDPediatric Dentist

Practice roles

OrganizationSpecialtyStatusNew patients
Pediatric Dental Center of North Lauderdale Pediatric Dentistry PastSince Feb 11, 2024 Accepting new patients
Pediatric and Orthodontic Dental Centers of Broward Pediatric Dentistry Past Accepting new patients
Pediatric Dental Center of Palmetto Bay Inc Pediatric Dentistry PastSince Apr 20, 2021 Accepting new patients
Pediatric Dental Center of Homestead Pediatric Dentistry Past Accepting new patients
Pediatric Dental Center of Gardens Inc Pediatric Dentistry PastSince Nov 1, 2020 Accepting new patients

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1555459200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1696377600000",
    "number": "1407419229",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1440 NW N RVR DR STE 345",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331252894"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1440 NW N RVR DR STE 345",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331252894",
            "telephone_number": "786-638-2110"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "557 NE 81st St",
            "address_purpose": "LOCATION",
            "city": "Miami",
            "state": "FL",
            "postal_code": "331384519",
            "country_code": "US",
            "telephone_number": "305-615-7340",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "18244 NW 27th Ave",
            "address_purpose": "LOCATION",
            "city": "Miami Gardens",
            "state": "FL",
            "postal_code": "330563501",
            "country_code": "US",
            "telephone_number": "305-454-0911",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "925 NE 30th Ter Ste 302",
            "address_purpose": "LOCATION",
            "city": "Homestead",
            "state": "FL",
            "postal_code": "330337614",
            "country_code": "US",
            "telephone_number": "305-246-3800",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "17037 S Dixie Hwy",
            "address_purpose": "LOCATION",
            "city": "Palmetto Bay",
            "state": "FL",
            "postal_code": "331574362",
            "country_code": "US",
            "telephone_number": "786-732-0802",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "7244 W McNab Rd",
            "address_purpose": "LOCATION",
            "city": "North Lauderdale",
            "state": "FL",
            "postal_code": "330685441",
            "country_code": "US",
            "telephone_number": "954-341-0002",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "9075 SW 162nd Ave Ste 110&112",
            "address_purpose": "LOCATION",
            "city": "Miami",
            "state": "FL",
            "postal_code": "331966437",
            "country_code": "US",
            "telephone_number": "305-985-1559",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BUZZI",
        "first_name": "NICOLE",
        "middle_name": "CRISTINE",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-04-17",
        "last_updated": "2023-10-04",
        "certification_date": "2023-10-04",
        "deactivation_date": "2019-04-17",
        "reactivation_date": "2019-07-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "FL",
            "license": "D24640",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Oct 4, 2023; 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.