Individual provider Active NPI

Angel Diaz-Norrman, D.D.S.

  • Periodontics
  • Miami, FL
National Provider Identifier
1538210778
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
PeriodonticsTaxonomy code 1223P0300X
License
DN11057 Issued in FL
Practice address
9100 SW 24TH St
Suite 2
Miami, FL 33165-2076
Phone
(305) 227-4020
Fax
(305) 223-0355
NPI assigned
Jan 15, 2007
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Periodontics 1223P0300X DN11057 FL Primary

Addresses

Primary practice location

9100 SW 24TH St
Suite 2
Miami, FL 33165-2076

Mailing address

9100 SW 24TH St
Suite 2
Miami, FL 33165-2076
Phone (305) 227-4020

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250402002314 FL Practitioner - Periodontics 2668995432 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Dr. Angel Diaz-Norrman, D.D.S., PA Periodontics CurrentSince Jan 6, 2025 Accepting new patients

Locations

9100 SW 24th St
Ste 2
Miami, FL 33165
Phone (305) 227-4020

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": "1168819200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1538210778",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9100 SW 24TH ST",
            "address_2": "SUITE 2",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331652076",
            "telephone_number": "305-227-4020",
            "fax_number": "305-223-0355"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9100 SW 24TH ST",
            "address_2": "SUITE 2",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331652076",
            "telephone_number": "305-227-4020",
            "fax_number": "305-223-0355"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIAZ-NORRMAN",
        "first_name": "ANGEL",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-15",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0300X",
            "taxonomy_group": "",
            "desc": "Dentist, Periodontics",
            "state": "FL",
            "license": "DN11057",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

Verify at the official NPI Registry.