Individual provider Active NPI

Armando Felix Bengochea Jr., D.D.S.

  • General Practice Dentistry
  • Miami, FL
National Provider Identifier
1487094678
Registry record updated Sep 9, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DN 21590 Issued in FL
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

Updated by the provider on Sep 9, 2015

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160223000121 FL Order and Referring Only - Other (Physician)Practitioner - Other (Physician) 2961707310

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
RES.3293OHMDDentist
DN 21590FLMDGeneral 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

Verify at the official NPI Registry.