Organization Active NPI

Oral & Facial Surgery of Miami, LLC

  • Oral and Maxillofacial Surgery (Dentist)
  • Coral Gables, FL
National Provider Identifier
1477819571
Registry record updated May 28, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X
License
DN18755 Issued in FL
Legal business name
ORAL & FACIAL SURGERY OF MIAMI, LLC
Practice address
3860 SW 8TH Street
Suite 201
Coral Gables, FL 33134
Phone
(305) 552-1193
Fax
(305) 443-0008
NPI assigned
Apr 3, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 28, 2013

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

Authorized official

Name
Johanny Caceres, DDSNPI 1588865240
Title
Manager
Phone
(786) 271-3341

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
Oral and Maxillofacial Surgery (Dentist)Group: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 1223S0112X DN18755 FL Primary

Addresses

Primary practice location

3860 SW 8TH Street
Suite 201
Coral Gables, FL 33134

Mailing address

3860 SW 8TH Street
Suite 201
Coral Gables, FL 33134
Phone (305) 552-1193

National Provider Directory

National Provider Directory

Locations

11760 SW 40th St
Ste 317A
Miami, FL 33175
Phone (305) 552-1193

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": "1333411200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1369699200000",
    "number": "1477819571",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3860 SW 8TH STREET",
            "address_2": "SUITE 201",
            "city": "CORAL GABLES",
            "state": "FL",
            "postal_code": "33134",
            "telephone_number": "305-552-1193",
            "fax_number": "305-443-0008"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3860 SW 8TH STREET",
            "address_2": "SUITE 201",
            "city": "CORAL GABLES",
            "state": "FL",
            "postal_code": "33134",
            "telephone_number": "305-552-1193",
            "fax_number": "305-443-0008"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ORAL & FACIAL SURGERY OF MIAMI, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-04-03",
        "last_updated": "2013-05-28",
        "status": "A",
        "authorized_official_last_name": "CACERES",
        "authorized_official_first_name": "JOHANNY",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "786-271-3341",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "FL",
            "license": "DN18755",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Coral Gables, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 2013; 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.