Organization Active NPI

Hialeah Square Dental Associates, PA

  • General Practice Dentistry
  • Hialeah, FL
National Provider Identifier
1447362942
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
HIALEAH SQUARE DENTAL ASSOCIATES, PA
Practice address
4186 W 12TH Ave
Hialeah, FL 33012-4158
Phone
(305) 556-6291
NPI assigned
Aug 31, 2006
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
Mrs. Maggie Vasquest
Title
Regional Manager
Phone
(305) 274-2499

Specialties & licenses 1

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

Addresses

Primary practice location

4186 W 12TH Ave
Hialeah, FL 33012-4158

Mailing address

4186 W 12TH Ave
Hialeah, FL 33012-4158
Phone (305) 556-6291

National Provider Directory

National Provider Directory

Locations

4186 W 12th Ave
Hialeah, FL 33012
Phone (305) 556-6291

Practitioners & affiliated clinicians

Practitioners 2

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

NPI Registry JSON

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

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1447362942",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4186 W 12TH AVE",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330124158",
            "telephone_number": "305-556-6291"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4186 W 12TH AVE",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330124158",
            "telephone_number": "305-556-6291"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HIALEAH SQUARE DENTAL ASSOCIATES, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-31",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "VASQUEST",
        "authorized_official_first_name": "MAGGIE",
        "authorized_official_title_or_position": "REGIONAL MANAGER",
        "authorized_official_telephone_number": "305-274-2499",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hialeah, 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.