Organization Active NPI

Fausto Nicieza D.M.D.,P.a.

  • General Practice Dentistry
  • Hialeah, FL
National Provider Identifier
1467642470
Registry record updated Jul 26, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
FAUSTO NICIEZA D.M.D.,P.A.
Practice address
1491 E 4TH Ave
Hialeah, FL 33010-3527
Phone
(305) 888-8260
Fax
(305) 888-5531
NPI assigned
Jul 26, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 26, 2007

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

Authorized official

Name
Fausto Nicieza, D.M.D.NPI 1952418360
Title
Dentist/President
Phone
(305) 888-8260

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X Primary

Addresses

Primary practice location

1491 E 4TH Ave
Hialeah, FL 33010-3527

Mailing address

1491 E 4TH Ave
Hialeah, FL 33010-3527
Phone (305) 888-8260

National Provider Directory

National Provider Directory

Locations

1491 E 4th Ave
Hialeah, FL 33010
Phone (305) 888-8260

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1185408000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1185408000000",
    "number": "1467642470",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1491 E 4TH AVE",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330103527",
            "telephone_number": "305-888-8260",
            "fax_number": "305-888-5531"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1491 E 4TH AVE",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330103527",
            "telephone_number": "305-888-8260",
            "fax_number": "305-888-5531"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAUSTO NICIEZA D.M.D.,P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-26",
        "last_updated": "2007-07-26",
        "status": "A",
        "authorized_official_last_name": "NICIEZA",
        "authorized_official_first_name": "FAUSTO",
        "authorized_official_title_or_position": "DENTIST/PRESIDENT",
        "authorized_official_telephone_number": "305-888-8260",
        "authorized_official_credential": "D.M.D."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hialeah, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 2007; 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.