NPIMap

Organization Active NPI

Joaquin Novoa

  • Dentist
  • South Miami, FL
National Provider Identifier
1578960506
Registry record updated Nov 19, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
DN0012844 Issued in FL
Legal business name
JOAQUIN NOVOA
Practice address
5730 SW 74TH Ter
South Miami, FL 33143-5308
Phone
(305) 665-3115
NPI assigned
Nov 19, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 19, 2014

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

Authorized official

Name
Dr. Joaquin A. Novoa, DDSNPI 1962666768
Title
Owner
Phone
(305) 665-3115

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X DN0012844 FL Primary

Addresses

Primary practice location

5730 SW 74TH Ter
South Miami, FL 33143-5308

Mailing address

5730 SW 74TH Ter
South Miami, FL 33143-5308
Phone (305) 665-3115

National Provider Directory

National Provider Directory

Locations

5730 SW 74th Ter
South Miami, FL 33143
Phone (305) 665-3115

Practitioners & affiliated clinicians

Practitioners 3

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": "1416355200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1416355200000",
    "number": "1578960506",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5730 SW 74TH TER",
            "city": "SOUTH MIAMI",
            "state": "FL",
            "postal_code": "331435308",
            "telephone_number": "305-665-3115"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5730 SW 74TH TER",
            "city": "SOUTH MIAMI",
            "state": "FL",
            "postal_code": "331435308",
            "telephone_number": "305-665-3115"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOAQUIN NOVOA",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-11-19",
        "last_updated": "2014-11-19",
        "status": "A",
        "authorized_official_last_name": "NOVOA",
        "authorized_official_first_name": "JOAQUIN",
        "authorized_official_middle_name": "A.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "305-665-3115",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "FL",
            "license": "DN0012844",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in South Miami, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2014; 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.