Total Dental Care of Florida, LLC

Primary specialty

DentistTaxonomy code 122300000X

License

DN16115 Issued in FL

Legal business name

TOTAL DENTAL CARE OF FLORIDA, LLC

Practice address

4410 W 16TH Ave Ste 30
Hialeah, FL 33012-7835

Phone

(305) 747-7711

Fax

(305) 697-9785

NPI assigned

Nov 18, 2014

Last updated

Sep 30, 2019By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Farid Blanco, DMDNPI 1154569473

Title

President

Phone

(305) 747-7711

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, and the practitioner matching its NPPES authorized official.

• Farid Blanco, D.M.D.

  • Dentist
  • Hialeah, FL
  • NPI 1154569473
  NPD (past) Authorized official
• Jorge L Blanco, D.M.D

  • Dentist
  • Miami, FL
  • NPI 1609046960
  NPD (past)

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

{
    "created_epoch": "1416268800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1569801600000",
    "number": "1447656491",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 440308",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331440308",
            "telephone_number": "786-971-2319"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4410 W 16TH AVE STE 30",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330127835",
            "telephone_number": "305-747-7711",
            "fax_number": "305-697-9785"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TOTAL DENTAL CARE OF FLORIDA, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-11-18",
        "last_updated": "2019-09-30",
        "status": "A",
        "authorized_official_last_name": "BLANCO",
        "authorized_official_first_name": "FARID",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "305-747-7711",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "FL",
            "license": "DN16115",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "002973600",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Yusleykys Torres
• Ailyn Tosca, BEHAVIOR TECHNICIAN
• Total Body Wellness Center of Miami Lakes
• Total Body Wellness Clinic, LLC
• Total Choice Medical and Rehab Center Inc
• Total Foot Care Clinic Inc
• Total Foot Care Clinic Inc
• Total Nursing Services, Inc.
• Total Pharmacy & Discount Corp
• Total Pharmacy Inc

• Dentist in Hialeah, FL
• Providers in Hialeah, FL by specialty
• Dentist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2019; 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.