Active NPI
Ingrid E Epelman Dorra, D.D.S
- Endodontics
- Miami Lakes, FL
National Provider Identifier
1447580469
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Endodontics
- License
- DN18918
- 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
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 |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| DN18918 | FL | MD | Endodontist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Advanced Endodontic Group | Endodontics | Current | Accepting new patients |
| Advanced Endodontic Group | Endodontics | Current | 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.
-
- Endodontics
- Miami Lakes, FL
- NPI 1205377488
-
- Endodontics
- Bay Harbor Islands, FL
- NPI 1740934892
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.