Individual provider Active NPI

Evelyn Ortega Caballero, D.D.S.

  • General Practice Dentistry
  • Miami, FL
National Provider Identifier
1508064676
Registry record updated Jul 10, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DN0013301 Issued in FL
Practice address
11373 W Flagler St
Suite 214
Miami, FL 33174-4203
Phone
(305) 554-4304
Fax
(305) 554-4326
NPI assigned
Jul 10, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 10, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X DN0013301 FL Primary

Addresses

Primary practice location

11373 W Flagler St
Suite 214
Miami, FL 33174-4203

Mailing address

11373 W Flagler St
Suite 214
Miami, FL 33174-4203
Phone (305) 554-4304

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
DN0013301FLMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Flagler Dental Clinic of Miami, Inc. General Practice Past Accepting new patients

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1184025600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1184025600000",
    "number": "1508064676",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11373 W FLAGLER ST",
            "address_2": "SUITE 214",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331744203",
            "telephone_number": "305-554-4304",
            "fax_number": "305-554-4326"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11373 W FLAGLER ST",
            "address_2": "SUITE 214",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331744203",
            "telephone_number": "305-554-4304",
            "fax_number": "305-554-4326"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CABALLERO",
        "first_name": "EVELYN",
        "middle_name": "ORTEGA",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-07-10",
        "last_updated": "2007-07-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "FL",
            "license": "DN0013301",
            "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 Jul 10, 2007; 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.