Individual provider Active NPI

Vilma Quintana, DMD

  • Dentist
  • Miami Beach, FL
National Provider Identifier
1598064354
Registry record updated Jun 5, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
DN19274 Issued in FL
Practice address
1010 71St St
Miami Beach, FL 33141-2963
Phone
(305) 868-8500
Fax
(786) 288-3687
NPI assigned
Mar 19, 2011
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 5, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X DN19274 FL Primary

Addresses

Primary practice location

1010 71St St
Miami Beach, FL 33141-2963

Mailing address

1010 71St St
Miami Beach, FL 33141-2963
Phone (305) 868-8500

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
I20160503002190 FL Order and Referring Only - DentistPractitioner - Dentist 6901105592

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DN19274FLMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Dental Group of Miami Beach Corp Current Accepting new patients
Baires Dental Inc Past Accepting new patients

Locations

1010 71st St
Miami Beach, FL 33141
Phone (305) 868-8500

Networks

  • HealthSun Health Plans Network

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1300492800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1685923200000",
    "number": "1598064354",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1010 71ST ST",
            "city": "MIAMI BEACH",
            "state": "FL",
            "postal_code": "331412963",
            "telephone_number": "305-868-8500",
            "fax_number": "786-288-3687"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1010 71ST ST",
            "city": "MIAMI BEACH",
            "state": "FL",
            "postal_code": "331412963",
            "telephone_number": "305-868-8500",
            "fax_number": "786-288-3687"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "QUINTANA",
        "first_name": "VILMA",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-03-19",
        "last_updated": "2023-06-05",
        "certification_date": "2023-06-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "FL",
            "license": "DN19274",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami Beach, FL

Sources for this page

Verify at the official NPI Registry.