Dade County Dental Research Center

Primary specialty

Exclusive Provider OrganizationTaxonomy code 302F00000X

License

DN14199 Issued in FL

Legal business name

DADE COUNTY DENTAL RESEARCH CENTER

Doing business as

Community Smiles

Practice address

750 NW 20TH St # G-110
Miami, FL 33127-4618

Phone

(305) 363-2218

NPI assigned

Aug 10, 2015

Organization subpart

No

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

Authorized official

Name

Mario Alvarez, COO

Title

Coo

Phone

(305) 363-2218

Specialties & licenses 1

Addresses

Other names 1

• Community Smiles Doing business as

Tax ID family

Community Smiles2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

• Dade County Dental Research Clinic

  • Dental Clinic/Center
  • Miami, FL
  • NPI 1841619285
  NPD tax ID

Locations

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

{
    "created_epoch": "1439164800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1490227200000",
    "number": "1508242876",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "750 NW 20TH ST # G-110",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331274618",
            "telephone_number": "305-363-2218"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "750 NW 20TH ST # G-110",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331274618",
            "telephone_number": "305-363-2218"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DADE COUNTY DENTAL RESEARCH CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-08-10",
        "last_updated": "2017-03-23",
        "status": "A",
        "authorized_official_last_name": "ALVAREZ",
        "authorized_official_first_name": "MARIO",
        "authorized_official_title_or_position": "COO",
        "authorized_official_telephone_number": "305-363-2218",
        "authorized_official_credential": "COO"
    },
    "taxonomies": [
        {
            "code": "302F00000X",
            "taxonomy_group": "",
            "desc": "Exclusive Provider Organization",
            "state": "FL",
            "license": "DN14199",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Community Smiles",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Dade Behavioral Services Inc
• Dade Community Services Inc
• Dade Counseling Center, P.a.
• Dade County Adult Living Facility Group ,Corp
• Dade County Adult Living Facility Group.Corp
• Dade County Dental Research Clinic
• Dade County Medical Services, Inc
• Dade County Nurses Incorporated
• Dade County Street Response
• Dade County Supply, Inc.

• Exclusive Provider Organization in Miami, FL
• Providers in Miami, FL by specialty
• Exclusive Provider Organization in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 2017; 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.