Individual provider Active NPI

Maria Celia Noda-Vila, DMD

  • Dentist
  • Miami, FL
National Provider Identifier
1609210301
Registry record updated Apr 24, 2013
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Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
DN13589 Issued in FL
Practice address
704 SW 60TH Ave
Miami, FL 33144-3811
Phone
(305) 790-4491
NPI assigned
Apr 24, 2013
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 24, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X DN13589 FL Primary

Addresses

Primary practice location

704 SW 60TH Ave
Miami, FL 33144-3811

Mailing address

704 SW 60TH Ave
Miami, FL 33144-3811
Phone (305) 790-4491

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
I20150429000541 FL Order and Referring Only - Oral SurgeryPractitioner - Oral Surgery 5799004594

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1366761600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1366761600000",
    "number": "1609210301",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "704 SW 60TH AVE",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331443811",
            "telephone_number": "305-790-4491"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "704 SW 60TH AVE",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331443811",
            "telephone_number": "305-790-4491"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NODA-VILA",
        "first_name": "MARIA",
        "middle_name": "CELIA",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-04-24",
        "last_updated": "2013-04-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "FL",
            "license": "DN13589",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

Verify at the official NPI Registry.