Organization Active NPI

Picasso Dental Inc

  • General Practice Dentistry
  • Miami, FL
National Provider Identifier
1497145338
Registry record updated Jan 30, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DN20138 Issued in FL
Legal business name
PICASSO DENTAL INC
Practice address
9572 SW 137TH Ave
Miami, FL 33186-2201
Phone
(305) 388-9229
Fax
(305) 388-9229
NPI assigned
Jan 30, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 30, 2015

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

Authorized official

Name
Dr. Raiko Rojas
Title
Owner
Phone
(305) 388-9229

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223G0001X DN20138 FL Primary

Addresses

Primary practice location

9572 SW 137TH Ave
Miami, FL 33186-2201

Mailing address

9572 SW 137TH Ave
Miami, FL 33186-2201
Phone (305) 388-9229

National Provider Directory

National Provider Directory

Locations

9572 SW 137th Ave
Miami, FL 33186
Phone (305) 388-9229

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1422576000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1422576000000",
    "number": "1497145338",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9572 SW 137TH AVE",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331862201",
            "telephone_number": "305-388-9229",
            "fax_number": "305-388-9229"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9572 SW 137TH AVE",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331862201",
            "telephone_number": "305-388-9229",
            "fax_number": "305-388-9229"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PICASSO DENTAL INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-01-30",
        "last_updated": "2015-01-30",
        "status": "A",
        "authorized_official_last_name": "ROJAS",
        "authorized_official_first_name": "RAIKO",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "305-388-9229",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "FL",
            "license": "DN20138",
            "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 30, 2015; 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.