Organization Active NPI

Monem Dental LLC

Doing business as American Dental Center

  • General Practice Dentistry
  • Miami, FL
National Provider Identifier
1538545561
Registry record updated Jul 31, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
MONEM DENTAL LLC
Doing business as
American Dental Center
Practice address
1505 NW 167TH St Ste 100
Miami, FL 33169-5133
Phone
(305) 625-5400
Fax
(305) 625-8110
NPI assigned
Jul 31, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 31, 2015

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

Authorized official

Name
Michelle Renee Santana
Title
Practice Manager
Phone
(305) 625-5400

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X Primary

Addresses

Primary practice location

1505 NW 167TH St Ste 100
Miami, FL 33169-5133

Mailing address

1505 NW 167TH St Ste 100
Miami, FL 33169-5133
Phone (305) 625-5400

Other names 1

  • American Dental Center Doing business as

National Provider Directory

National Provider Directory

Locations

1505 NW 167th St
Ste 100
Miami, FL 33169
Phone (305) 625-5400

Practitioners & affiliated clinicians

Practitioners 4

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": "1438300800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1438300800000",
    "number": "1538545561",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1505 NW 167TH ST STE 100",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331695133",
            "telephone_number": "305-625-5400",
            "fax_number": "305-625-8110"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1505 NW 167TH ST STE 100",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331695133",
            "telephone_number": "305-625-5400",
            "fax_number": "305-625-8110"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MONEM DENTAL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-07-31",
        "last_updated": "2015-07-31",
        "status": "A",
        "authorized_official_last_name": "SANTANA",
        "authorized_official_first_name": "MICHELLE",
        "authorized_official_middle_name": "RENEE",
        "authorized_official_title_or_position": "PRACTICE MANAGER",
        "authorized_official_telephone_number": "305-625-5400"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "American Dental Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Miami, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2015; 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.