Active NPI
Eduardo Cortes Contreras, D.D.S.,M.SC.D.
- General Practice Dentistry
- Miami, FL
National Provider Identifier
1417324161
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- DN21571
- Practice address
- 11826 SW 100TH Ter
Miami, FL 33186-2738 - Phone
- (786) 419-8922
- NPI assigned
- Aug 28, 2015
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | DN21571 | FL | Primary |
Addresses
Primary practice location
11826 SW 100TH Ter
Miami, FL 33186-2738
Mailing address
11826 SW 100TH Ter
Miami, FL 33186-2738
Phone (786) 419-8922
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
| License | State | Type | Specialty |
|---|---|---|---|
| DN21571 | FL | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cortes DDS Ms 7 LLC | General Practice | Current | Accepting new patients |
Networks
- Freedom Health HMO Network
Organizations & group practices 1
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.
-
- General Practice Dentistry
- Lake Wales, FL
- NPI 1609763903
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1440720000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1440720000000",
"number": "1417324161",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11826 SW 100TH TER",
"city": "MIAMI",
"state": "FL",
"postal_code": "331862738",
"telephone_number": "786-419-8922"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11826 SW 100TH TER",
"city": "MIAMI",
"state": "FL",
"postal_code": "331862738",
"telephone_number": "786-419-8922"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CORTES CONTRERAS",
"first_name": "EDUARDO",
"name_prefix": "Dr.",
"credential": "D.D.S.,M.SC.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2015-08-28",
"last_updated": "2015-08-28",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "FL",
"license": "DN21571",
"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 Aug 28, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.