Individual provider Active NPI

Viviana Lea Waich, DDS

  • General Practice Dentistry
  • Miami, FL
National Provider Identifier
1528290871
Registry record updated Aug 20, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DN18717 Issued in FL
Practice address
782 NW 42ND Ave
Suite 538
Miami, FL 33126-5541
Phone
(305) 442-8866
Fax
(305) 448-6407
NPI assigned
Aug 20, 2009
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 20, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X DN18717 FL Primary

Addresses

Primary practice location

782 NW 42ND Ave
Suite 538
Miami, FL 33126-5541

Mailing address

16909 N Bay Rd
Ap 520
Sunny Isles Beach, FL 33160-4254
Phone (305) 206-9980

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: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20201007002859 FL Practitioner - Oral SurgeryPractitioner - Maxillofacial SurgeryPractitioner - Dentist 8921427188

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Antonio Otero DDS, PA General Practice Past Accepting new patients

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1250726400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1250726400000",
    "number": "1528290871",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16909 N BAY RD",
            "address_2": "AP 520",
            "city": "SUNNY ISLES BEACH",
            "state": "FL",
            "postal_code": "331604254",
            "telephone_number": "305-206-9980",
            "fax_number": "786-284-8310"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "782 NW 42ND AVE",
            "address_2": "SUITE 538",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331265541",
            "telephone_number": "305-442-8866",
            "fax_number": "305-448-6407"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WAICH",
        "first_name": "VIVIANA",
        "middle_name": "LEA",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-08-20",
        "last_updated": "2009-08-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "FL",
            "license": "DN18717",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

Verify at the official NPI Registry.