Active NPI
Armando Felix Bengochea Jr., D.D.S.
- General Practice Dentistry
- Miami, FL
National Provider Identifier
1487094678
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- DN 21590
- Practice address
- 10080 SW 26TH St
Miami, FL 33165-2653 - Phone
- (786) 228-6544
- NPI assigned
- Jul 2, 2013
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | RES.3293 | OH | |
| General Practice Dentistry | 1223G0001X | DN 21590 | FL | Primary |
Addresses
Primary practice location
10080 SW 26TH St
Miami, FL 33165-2653
Mailing address
10080 SW 26TH St
Miami, FL 33165-2653
Phone (786) 228-6544
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20160223000121 | FL | Order and Referring Only - Other (Physician) | 2961707310 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RES.3293 | OH | MD | Dentist |
| DN 21590 | FL | MD | General Practice Dentistry |
Networks
- Freedom Health HMO Network
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1372723200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1441756800000",
"number": "1487094678",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10080 SW 26TH ST",
"city": "MIAMI",
"state": "FL",
"postal_code": "331652653",
"telephone_number": "786-228-6544"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10080 SW 26TH ST",
"city": "MIAMI",
"state": "FL",
"postal_code": "331652653",
"telephone_number": "786-228-6544"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BENGOCHEA",
"first_name": "ARMANDO",
"middle_name": "FELIX",
"name_prefix": "Dr.",
"name_suffix": "Jr.",
"credential": "D.D.S.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2013-07-02",
"last_updated": "2015-09-09",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "OH",
"license": "RES.3293",
"primary": false
},
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "FL",
"license": "DN 21590",
"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 Sep 9, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.