Active NPI
Cancer Dental Specialists, PA
- Oral and Maxillofacial Surgery (Dentist)
- Miami, FL
National Provider Identifier
1457990277
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Oral and Maxillofacial Surgery (Dentist)
- Legal business name
- CANCER DENTAL SPECIALISTS, PA
- Practice address
- 8900 N Kendall Drive
Miami Cancer Institute
Miami, FL 33176 - Phone
- (786) 527-7803
- NPI assigned
- Dec 26, 2019
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Evan Rosen, DMD
- Title
- President
- Phone
- (305) 742-7175
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Oral and Maxillofacial Surgery (Dentist) | 1223S0112X | Primary |
Addresses
Primary practice location
8900 N Kendall Drive
Miami Cancer Institute
Miami, FL 33176
Mailing address
11301 S Dixie Hwy Unit 565664
Pinecrest, FL 33256-7234
National Provider Directory
National Provider DirectoryLocations
8940 N Kendall Dr
Ste 604E
Miami, FL 33176
Phone (305) 595-1905
11301 S Dixie Hwy
Unit 565664
Pinecrest, FL 33256
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1577318400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1579737600000",
"number": "1457990277",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11301 S DIXIE HWY UNIT 565664",
"city": "PINECREST",
"state": "FL",
"postal_code": "332567234"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8900 N KENDALL DRIVE",
"address_2": "MIAMI CANCER INSTITUTE",
"city": "MIAMI",
"state": "FL",
"postal_code": "33176",
"telephone_number": "786-527-7803"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CANCER DENTAL SPECIALISTS, PA",
"organizational_subpart": "NO",
"enumeration_date": "2019-12-26",
"last_updated": "2020-01-23",
"certification_date": "2020-01-23",
"status": "A",
"authorized_official_last_name": "ROSEN",
"authorized_official_first_name": "EVAN",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "305-742-7175",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DMD"
},
"taxonomies": [
{
"code": "1223S0112X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Dentist, Oral and Maxillofacial Surgery",
"state": null,
"license": null,
"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 Jan 23, 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.