Organization Active NPI

Beach Dental Center

  • Dentist
  • Miami Beach, FL
National Provider Identifier
1508964644
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
DN0011611 Issued in FL
Legal business name
BEACH DENTAL CENTER
Practice address
1680 Michigan Ave
Suite 1020
Miami Beach, FL 33139
Phone
(305) 532-3300
Fax
(305) 538-8444
NPI assigned
Sep 20, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mrs. Georgia Hernandez, DMDNPI 1932292232
Title
Dentist
Phone
(305) 532-3300

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193200000X MULTI-SPECIALTY GROUP 122300000X DN0011611 FL Primary

Addresses

Primary practice location

1680 Michigan Ave
Suite 1020
Miami Beach, FL 33139

Mailing address

1680 Michigan Ave
Suite 1020
Miami Beach, FL 33139
Phone (305) 532-3300

National Provider Directory

National Provider Directory

Locations

1680 Michigan Ave
Ste 1020
Miami Beach, FL 33139
Phone (305) 532-3300

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": "1158710400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1508964644",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1680 MICHIGAN AVE",
            "address_2": "SUITE 1020",
            "city": "MIAMI BEACH",
            "state": "FL",
            "postal_code": "33139",
            "telephone_number": "305-532-3300",
            "fax_number": "305-538-8444"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1680 MICHIGAN AVE",
            "address_2": "SUITE 1020",
            "city": "MIAMI BEACH",
            "state": "FL",
            "postal_code": "33139",
            "telephone_number": "305-532-3300",
            "fax_number": "305-538-8444"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BEACH DENTAL CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-20",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "HERNANDEZ",
        "authorized_official_first_name": "GEORGIA",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "305-532-3300",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "FL",
            "license": "DN0011611",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.