Active NPI
Lisset Gata Garcia, DDS
- Dentist
- Miami, FL
National Provider Identifier
1487036216
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 22851
- Practice address
- 5510 SW 92ND Ave
Miami, FL 33165 - Phone
- (786) 339-0466
- Fax
- (786) 339-0466
- NPI assigned
- Jun 29, 2015
- 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 |
|---|---|---|---|---|
| Dentist | 122300000X | 22851 | FL | Primary |
Addresses
Primary practice location
5510 SW 92ND Ave
Miami, FL 33165
Mailing address
9240 SW 72ND St Ste 115
Miami, FL 33173-3262
Phone (305) 595-0557
Other practice location 1
5757 Ave Isla verde
Cond Ocean Tower Apt 307
Carolina,, PR 00979
Phone (786) 339-0466
Other practice location 2
9490 SW 54th St
Miami, FL 33165-6416
Phone (786) 339-0466
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 |
|---|---|---|---|
| 22851 | FL | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Floridental Clinic | Past | Accepting new patients |
Networks
- HealthSun Health Plans Network
Organizations & group practices 1
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.
-
- Dental Clinic/Center
- Miami, FL
- NPI 1275181315
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1435536000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1561507200000",
"number": "1487036216",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9240 SW 72ND ST STE 115",
"city": "MIAMI",
"state": "FL",
"postal_code": "331733262",
"telephone_number": "305-595-0557",
"fax_number": "305-595-3667"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5510 SW 92ND AVE",
"city": "MIAMI",
"state": "FL",
"postal_code": "33165",
"telephone_number": "786-339-0466",
"fax_number": "786-339-0466"
}
],
"practiceLocations": [
{
"address_1": "5757 Ave Isla verde",
"address_2": "Cond Ocean Tower Apt 307",
"address_purpose": "LOCATION",
"city": "Carolina,",
"state": "PR",
"postal_code": "00979",
"country_code": "US",
"telephone_number": "786-339-0466",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "9490 SW 54th St",
"address_purpose": "LOCATION",
"city": "Miami",
"state": "FL",
"postal_code": "331656416",
"country_code": "US",
"telephone_number": "786-339-0466",
"fax_number": "786-339-0466",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GATA GARCIA",
"first_name": "LISSET",
"credential": "DDS",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2015-06-29",
"last_updated": "2019-06-26",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "FL",
"license": "22851",
"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 Jun 26, 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.