Active NPI
Jorge Menendez, D.D.S.
- General Practice Dentistry
- Miami, FL
National Provider Identifier
1447551015
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- DN17325
- Practice address
- 3721 SW 107TH Ave
Miami, FL 33165-3638 - Phone
- (305) 226-7135
- NPI assigned
- Nov 12, 2010
- 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 | DN17325 | FL | Primary |
Addresses
Primary practice location
3721 SW 107TH Ave
Miami, FL 33165-3638
Mailing address
3721 SW 107TH Ave
Miami, FL 33165-3638
Phone (305) 226-7135
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 |
|---|---|---|---|
| DN17325 | FL | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Menendez Dental Associates, P.a. | Current | Accepting new patients | |
| Menendez Dental Associates, P.a. | General Practice | Current | Accepting new patients |
Locations
11395 SW 40th St
Miami, FL 33165
Phone (305) 226-7135
3721 SW 107th Ave
Miami, FL 33165
Phone (305) 226-7135
Organizations & group practices 2
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.
-
- Dentist
- Miami, FL
- NPI 1811448780
-
- General Practice Dentistry
- Miami, FL
- NPI 1922399252
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1289520000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1701043200000",
"number": "1447551015",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3721 SW 107TH AVE",
"city": "MIAMI",
"state": "FL",
"postal_code": "331653638",
"telephone_number": "305-226-7135"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3721 SW 107TH AVE",
"city": "MIAMI",
"state": "FL",
"postal_code": "331653638",
"telephone_number": "305-226-7135"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MENENDEZ",
"first_name": "JORGE",
"name_prefix": "Dr.",
"credential": "D.D.S.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2010-11-12",
"last_updated": "2023-11-27",
"certification_date": "2023-11-21",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "FL",
"license": "DN17325",
"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 Nov 27, 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.