Individual provider Active NPI

Ingrid E Epelman Dorra, D.D.S

  • Endodontics
  • Miami Lakes, FL
National Provider Identifier
1447580469
Registry record updated Jan 26, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
EndodonticsTaxonomy code 1223E0200X
License
DN18918 Issued in FL
Practice address
7975 NW 154TH St Ste 250
Miami Lakes, FL 33016-5806
Phone
(305) 615-6300
Fax
(305) 330-9902
NPI assigned
Jan 14, 2010
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 26, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Endodontics 1223E0200X DN18918 FL Primary

Addresses

Primary practice location

7975 NW 154TH St Ste 250
Miami Lakes, FL 33016-5806

Mailing address

7975 NW 154TH St Ste 250
Miami Lakes, FL 33016-5806
Phone (786) 488-0335

Other practice location 1

1045 Kane Concourse Ste 204
Bay Harbor Islands, FL 33154-2119
Phone (305) 615-6300

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
DN18918FLMDEndodontist

Practice roles

OrganizationSpecialtyStatusNew patients
Advanced Endodontic Group Endodontics CurrentSince Feb 13, 2022 Accepting new patients
Advanced Endodontic Group Endodontics CurrentSince Dec 1, 2019 Accepting new patients

Locations

1045 Kane Concourse
Ste 204
Bay Harbor Islands, FL 33154
Phone (305) 615-6300

7975 NW 154th St
Ste 250
Miami Lakes, FL 33016
Phone (305) 615-6300

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.

NPI Registry JSON

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

{
    "created_epoch": "1263427200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1643155200000",
    "number": "1447580469",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7975 NW 154TH ST STE 250",
            "city": "MIAMI LAKES",
            "state": "FL",
            "postal_code": "330165806",
            "telephone_number": "786-488-0335",
            "fax_number": "305-932-5909"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7975 NW 154TH ST STE 250",
            "city": "MIAMI LAKES",
            "state": "FL",
            "postal_code": "330165806",
            "telephone_number": "305-615-6300",
            "fax_number": "305-330-9902"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1045 Kane Concourse Ste 204",
            "address_purpose": "LOCATION",
            "city": "Bay Harbor Islands",
            "state": "FL",
            "postal_code": "331542119",
            "country_code": "US",
            "telephone_number": "305-615-6300",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "EPELMAN DORRA",
        "first_name": "INGRID",
        "middle_name": "E",
        "name_prefix": "Dr.",
        "credential": "D.D.S",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-01-14",
        "last_updated": "2022-01-26",
        "certification_date": "2022-01-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223E0200X",
            "taxonomy_group": "",
            "desc": "Dentist, Endodontics",
            "state": "FL",
            "license": "DN18918",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami Lakes, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2022; 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.