Organization Active NPI

Jr Dental Office Inc

  • Dentist
  • Hialeah, FL
National Provider Identifier
1568891398
Registry record updated Nov 2, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
Legal business name
JR DENTAL OFFICE INC
Practice address
6847 W 4TH Ave
Hialeah, FL 33014-5337
Phone
(786) 431-5000
Fax
(786) 431-5061
NPI assigned
Nov 2, 2013
Last updated
Nov 2, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 2, 2013

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

Authorized official

Name
Maite Vargas
Title
Ceo
Phone
78643150000

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X Primary

Addresses

Primary practice location

6847 W 4TH Ave
Hialeah, FL 33014-5337

Mailing address

6847 W 4TH Ave
Hialeah, FL 33014-5337

National Provider Directory

National Provider Directory

Locations

6847 W 4th Ave
Hialeah, FL 33014
Phone (305) 820-0068

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1383350400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1383350400000",
    "number": "1568891398",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6847 W 4TH AVE",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330145337"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6847 W 4TH AVE",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330145337",
            "telephone_number": "786-431-5000",
            "fax_number": "786-431-5061"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JR DENTAL OFFICE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-11-02",
        "last_updated": "2013-11-02",
        "status": "A",
        "authorized_official_last_name": "VARGAS",
        "authorized_official_first_name": "MAITE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "78643150000"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hialeah, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2013; 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.