Organization Active NPI

Healthy Teeth Family Dentistry Corp

  • Dentist
  • Miami, FL
National Provider Identifier
1558099598
Registry record updated Aug 9, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
Legal business name
HEALTHY TEETH FAMILY DENTISTRY CORP
Practice address
4790 NW 7TH St Ste 211
Miami, FL 33126-2200
Phone
(305) 448-2014
NPI assigned
Aug 9, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 9, 2022

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

Authorized official

Name
Erick Corredera
Title
President
Phone
(305) 587-5170

Specialties & licenses 1

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

Addresses

Primary practice location

4790 NW 7TH St Ste 211
Miami, FL 33126-2200

Mailing address

4790 NW 7TH St Ste 211
Miami, FL 33126-2200
Phone (305) 448-2014

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address healthyteethfamily@icloud.com Direct

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1660003200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1660003200000",
    "number": "1558099598",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4790 NW 7TH ST STE 211",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331262200",
            "telephone_number": "305-448-2014"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4790 NW 7TH ST STE 211",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331262200",
            "telephone_number": "305-448-2014"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEALTHY TEETH FAMILY DENTISTRY CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-08-09",
        "last_updated": "2022-08-09",
        "certification_date": "2022-08-02",
        "status": "A",
        "authorized_official_last_name": "CORREDERA",
        "authorized_official_first_name": "ERICK",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "305-587-5170"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "healthyteethfamily@icloud.com",
            "affiliation": "N",
            "endpointDescription": "direct email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "4790 NW 7th St Ste 211",
            "city": "Miami",
            "state": "FL",
            "country_code": "US",
            "postal_code": "331262200",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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 Aug 9, 2022; 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.