Jacqueline Garcia Castellanos, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DN14574 Issued in FL

Practice address

12001 SW 128TH CT Ste 103
Kendallwood Office Park II
Miami, FL 33186-4665

Phone

(305) 279-6400

Fax

(305) 403-8704

NPI assigned

Feb 11, 2007

Last updated

Oct 5, 2009By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Kendall Breeze Dental Associates

  • General Practice Dentistry
  • Miami, FL
  • NPI 1679885594
  NPD (past)

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

{
    "created_epoch": "1171152000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1254700800000",
    "number": "1487795472",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12001 SW 128TH CT STE 103",
            "address_2": "KENDALLWOOD OFFICE PARK II",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331864665",
            "telephone_number": "305-279-6400",
            "fax_number": "305-403-8704"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12001 SW 128TH CT STE 103",
            "address_2": "KENDALLWOOD OFFICE PARK II",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331864665",
            "telephone_number": "305-279-6400",
            "fax_number": "305-403-8704"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GARCIA CASTELLANOS",
        "first_name": "JACQUELINE",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-11",
        "last_updated": "2009-10-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "FL",
            "license": "DN14574",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lissy Garcia Capote
• Isiet Garcia Cardenas, LICENSE RBT
• Jenny Garcia Carmenate
• Darelys Garcia Casanas
• Arianne Garcia Casas
• Maria Karla Garcia Chavez
• Magda N Garcia Cheong
• Edangel Garcia Chirino, M.D
• Chabeli Garcia Clausell
• Hailin Garcia Columbie

• General Practice Dentistry in Miami, FL
• Providers in Miami, FL by specialty
• General Practice Dentistry in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2009; 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.

Verify at the official NPI Registry.