Health Dental of Homestead

Primary specialty

DentistTaxonomy code 122300000X

Legal business name

HEALTH DENTAL OF HOMESTEAD

Practice address

698 N Homestead Blvd Ste 106
Homestead, FL 33030-6211

Phone

(786) 604-2625

NPI assigned

Mar 14, 2024

Organization subpart

No

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

Authorized official

Name

Gabriela Rodriguez

Title

Owner

Phone

(786) 212-4903

Specialties & licenses 1

Addresses

Practitioners 1

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

• Licet Cardenas Pena, DMD

  • Dentist
  • Hialeah, FL
  • NPI 1780562470
  NPD (past)

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

{
    "created_epoch": "1710374400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1710460800000",
    "number": "1508625427",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "698 N HOMESTEAD BLVD STE 106",
            "city": "HOMESTEAD",
            "state": "FL",
            "postal_code": "330306211",
            "telephone_number": "786-604-2625"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "698 N HOMESTEAD BLVD STE 106",
            "city": "HOMESTEAD",
            "state": "FL",
            "postal_code": "330306211",
            "telephone_number": "786-604-2625"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEALTH DENTAL OF HOMESTEAD",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-03-14",
        "last_updated": "2024-03-15",
        "certification_date": "2024-03-15",
        "status": "A",
        "authorized_official_last_name": "RODRIGUEZ",
        "authorized_official_first_name": "GABRIELA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "786-212-4903"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Dentist in Homestead, FL
• Providers in Homestead, FL by specialty
• Dentist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 2024; 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.