NPIMap

Organization Active NPI

Prosthodontic Dentistry of S FL

  • Prosthodontics
  • Coconut Grove, FL
National Provider Identifier
1609171339
Registry record updated Apr 24, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
ProsthodonticsTaxonomy code 1223P0700X
License
DN13965 Issued in FL
Legal business name
PROSTHODONTIC DENTISTRY OF S FL
Practice address
2601 S Bayshore Dr
Suite 760
Coconut Grove, FL 33133-5417
Phone
(305) 857-0990
Fax
(305) 857-9180
NPI assigned
Jan 11, 2011
Last updated
Apr 24, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 24, 2012

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

Authorized official

Name
Mrs. Ivonne Faine
Title
Office Manager
Phone
(305) 857-0990

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Prosthodontics 1223P0700X DN13965 FL Primary

Addresses

Primary practice location

2601 S Bayshore Dr
Suite 760
Coconut Grove, FL 33133-5417

Mailing address

2601 S Bayshore Dr
Suite 760
Coconut Grove, FL 33133-5417
Phone (305) 857-0990

National Provider Directory

National Provider Directory

Locations

2601 S Bayshore Dr
Ste 760
Miami, FL 33133
Phone (305) 857-0990

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": "1294704000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1335225600000",
    "number": "1609171339",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2601 S BAYSHORE DR",
            "address_2": "SUITE 760",
            "city": "COCONUT GROVE",
            "state": "FL",
            "postal_code": "331335417",
            "telephone_number": "305-857-0990",
            "fax_number": "305-857-9180"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2601 S BAYSHORE DR",
            "address_2": "SUITE 760",
            "city": "COCONUT GROVE",
            "state": "FL",
            "postal_code": "331335417",
            "telephone_number": "305-857-0990",
            "fax_number": "305-857-9180"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROSTHODONTIC DENTISTRY OF S FL",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-01-11",
        "last_updated": "2012-04-24",
        "status": "A",
        "authorized_official_last_name": "FAINE",
        "authorized_official_first_name": "IVONNE",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "305-857-0990",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "1223P0700X",
            "taxonomy_group": "",
            "desc": "Dentist, Prosthodontics",
            "state": "FL",
            "license": "DN13965",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Coconut Grove, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2012; 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.