Coral Way Dental Center Inc

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

License

DN 11420 Issued in FL

Legal business name

CORAL WAY DENTAL CENTER INC

Practice address

9644 SW 24TH St
Miami, FL 33165-8015

Phone

(305) 227-0155

Fax

(305) 227-0189

NPI assigned

Mar 11, 2013

Organization subpart

No

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

Authorized official

Name

Mrs. Yolanda Baez, DDSNPI 1689702318

Title

Owner

Phone

(305) 227-0155

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 2

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

• Yolanda Baez, DDS

  • General Practice Dentistry
  • Miami, FL
  • NPI 1689702318
  NPD (past) Authorized official
• Lizbeth Quinones, D.D.S.

  • General Practice Dentistry
  • Miami, FL
  • NPI 1225213911
  NPD (past)

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

{
    "created_epoch": "1362960000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1362960000000",
    "number": "1508107871",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9644 SW 24TH ST",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331658015",
            "telephone_number": "305-227-0155",
            "fax_number": "305-227-0189"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9644 SW 24TH ST",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331658015",
            "telephone_number": "305-227-0155",
            "fax_number": "305-227-0189"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CORAL WAY DENTAL CENTER INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-03-11",
        "last_updated": "2013-03-11",
        "status": "A",
        "authorized_official_last_name": "BAEZ",
        "authorized_official_first_name": "YOLANDA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "305-227-0155",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "FL",
            "license": "DN 11420",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "073149800",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Coral View Surgery Center, LLC
• Coral Villa Adult Care Inc
• Coral Villa Adult Care Inc
• Coral Villa II Corp
• Coral Way Dental Associates Inc
• Coral Way Diagnostic & Medical Services LLC
• Coral Way Diagnostic Services
• Coral Way Health Center Corp
• Coral Way Health Center Inc.
• Coral Way MRI & Diagnostics LLLP

• Dental Clinic/Center in Miami, FL
• Providers in Miami, FL by specialty
• Dental Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2013; 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.