Evolution Smiles

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

License

DN19902 Issued in FL

Legal business name

EVOLUTION SMILES

Practice address

340 Alhambra Cir
Coral Gables, FL 33134-5004

Phone

(305) 442-6422

NPI assigned

Sep 18, 2015

Organization subpart

No

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

Authorized official

Name

Diana Ayala, DDS

Title

Dentist/Owner

Phone

(305) 442-6422

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jenny Marilis Hernandez, DDS

  • Dentist
  • Coral Gables, FL
  • NPI 1689027849
  NPD (past)
• Jorge Emilio Vazquez, DMD

  • General Practice Dentistry
  • Coral Gables, FL
  • NPI 1417163718
  NPD (past)

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

{
    "created_epoch": "1442534400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1442534400000",
    "number": "1437528536",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "340 ALHAMBRA CIR",
            "city": "CORAL GABLES",
            "state": "FL",
            "postal_code": "331345004",
            "telephone_number": "305-442-6422"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "340 ALHAMBRA CIR",
            "city": "CORAL GABLES",
            "state": "FL",
            "postal_code": "331345004",
            "telephone_number": "305-442-6422"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EVOLUTION SMILES",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-09-18",
        "last_updated": "2015-09-18",
        "status": "A",
        "authorized_official_last_name": "AYALA",
        "authorized_official_first_name": "DIANA",
        "authorized_official_title_or_position": "DENTIST/OWNER",
        "authorized_official_telephone_number": "305-442-6422",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "FL",
            "license": "DN19902",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "013199200",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Euro Med Medical Equipment Inc
• Danica Pioquinto Samsin Evans, M.ED
• Ivory Domenque Evans
• Jessica E Evans, CCC-SLP
• Evelyn Lopez-Brignoni MD PA
• Excellence Wellness Rehab Center Inc
• Excellence Wellness Rehab Center, Inc
• Excellent Quality Mental Health Inc
• Exclusive Services Behavior Correction LLC
• Executive Health of Coral Gables LC

• Dental Clinic/Center in Coral Gables, FL
• Providers in Coral Gables, FL by specialty
• Dental Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 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.

Verify at the official NPI Registry.