NPIMap

Organization Active NPI

Kendall Dental Associates Group LLC

  • Dentist
  • Miami, FL
National Provider Identifier
1609539451
Registry record updated Oct 19, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
Legal business name
KENDALL DENTAL ASSOCIATES GROUP LLC
Practice address
8833 SW 107TH Ave
Miami, FL 33176-1411
Phone
(305) 271-1421
NPI assigned
Oct 19, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 19, 2021

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

Authorized official

Name
Dr. David Faget, DMDNPI 1811224397
Title
Manager
Phone
(305) 271-1421

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 MULTIPLE SINGLE SPECIALTY GROUP 122300000X Primary

Addresses

Primary practice location

8833 SW 107TH Ave
Miami, FL 33176-1411

Mailing address

8833 SW 107TH Ave
Miami, FL 33176-1411
Phone (305) 271-1421

National Provider Directory

National Provider Directory

Locations

8833 SW 107th Ave
Miami, FL 33176
Phone (305) 271-1421

Practitioners & affiliated clinicians

Practitioners 4

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": "1634601600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1634601600000",
    "number": "1609539451",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8833 SW 107TH AVE",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331761411",
            "telephone_number": "305-271-1421"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8833 SW 107TH AVE",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331761411",
            "telephone_number": "305-271-1421"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KENDALL DENTAL ASSOCIATES GROUP LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-10-19",
        "last_updated": "2021-10-19",
        "certification_date": "2021-10-19",
        "status": "A",
        "authorized_official_last_name": "FAGET",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "305-271-1421",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2021; 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.