Active NPI
Patricia Michelle Cantens, DMD
- General Practice Dentistry
- Homestead, FL
National Provider Identifier
1518644376
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- DN27964
- Practice address
- 805 N Homestead Blvd
Homestead, FL 33030-5024 - Phone
- (786) 410-6656
- Fax
- (786) 871-7311
- NPI assigned
- Jul 3, 2023
- Last updated
- Jul 3, 2023
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | DN27964 | FL | Primary |
Addresses
Primary practice location
805 N Homestead Blvd
Homestead, FL 33030-5024
Mailing address
14421 SW 94TH Ave
Miami, FL 33176-7801
Phone (305) 951-9966
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20230928002773 | FL | Order and Referring Only - Dentist | 9436503109 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Homestead Modern Dentistry, PA | Current | Accepting new patients |
Locations
805 N Homestead Blvd
Homestead, FL 33030
Phone (786) 410-6656
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1688342400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1688342400000",
"number": "1518644376",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "14421 SW 94TH AVE",
"city": "MIAMI",
"state": "FL",
"postal_code": "331767801",
"telephone_number": "305-951-9966"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "805 N HOMESTEAD BLVD",
"city": "HOMESTEAD",
"state": "FL",
"postal_code": "330305024",
"telephone_number": "786-410-6656",
"fax_number": "786-871-7311"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CANTENS",
"first_name": "PATRICIA",
"middle_name": "MICHELLE",
"name_prefix": "Dr.",
"credential": "DMD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-07-03",
"last_updated": "2023-07-03",
"certification_date": "2023-07-03",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "FL",
"license": "DN27964",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Homestead, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 3, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.