Organization Active NPI

South Eastern Dental Assoc VI, PA

  • Periodontics
  • Miami, FL
National Provider Identifier
1487985255
Registry record updated Jan 19, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
PeriodonticsTaxonomy code 1223P0300X
License
DN14485 Issued in FL
Legal business name
SOUTH EASTERN DENTAL ASSOC VI, PA
Practice address
1843 SW 8TH St
Miami, FL 33135-3417
Phone
(305) 643-3040
Fax
(305) 643-3371
NPI assigned
Jan 19, 2010
Organization subpart
Yes
Parent organization
SOUTH EASTERN DENTAL ASSOC VI, PAAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jan 19, 2010

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

Authorized official

Name
Dr. Kenneth D Rubinstein, D.M.D.
Title
President
Phone
(305) 866-7127

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PeriodonticsGroup: 193200000X MULTI-SPECIALTY GROUP 1223P0300X DN14485 FL Primary

Addresses

Primary practice location

1843 SW 8TH St
Miami, FL 33135-3417

Mailing address

1843 SW 8TH St
Miami, FL 33135-3417
Phone (305) 643-3040

National Provider Directory

National Provider Directory
Tax ID family
South Eastern Dental Assoc VI PA2 organizations share this tax ID, including this one
Part of
Southeastern Dental Associates V PA

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1263859200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1263859200000",
    "number": "1487985255",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1843 SW 8TH ST",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331353417",
            "telephone_number": "305-643-3040",
            "fax_number": "305-643-3371"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1843 SW 8TH ST",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331353417",
            "telephone_number": "305-643-3040",
            "fax_number": "305-643-3371"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTH EASTERN DENTAL ASSOC VI, PA",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SOUTH EASTERN DENTAL ASSOC VI, PA",
        "enumeration_date": "2010-01-19",
        "last_updated": "2010-01-19",
        "status": "A",
        "authorized_official_last_name": "RUBINSTEIN",
        "authorized_official_first_name": "KENNETH",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "305-866-7127",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.M.D."
    },
    "taxonomies": [
        {
            "code": "1223P0300X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Periodontics",
            "state": "FL",
            "license": "DN14485",
            "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 Jan 19, 2010; 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.