Organization Active NPI

Palmetto Dental Care Inc

  • Dental Clinic/Center
  • Hialeah, FL
National Provider Identifier
1619646106
Registry record updated Sep 8, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
PALMETTO DENTAL CARE INC
Doing business as
Palmetto Dental Care Inc
Practice address
1955 W 68TH St
Hialeah, FL 33014-4403
Phone
(786) 257-1646
NPI assigned
Sep 8, 2021
Last updated
Sep 8, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 8, 2021

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

Authorized official

Name
Walter Simbaco, DDSNPI 1578687174
Title
Owner/General Dentist
Phone
(786) 257-1646

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
Dental Clinic/Center 261QD0000X NU Primary

Addresses

Primary practice location

1955 W 68TH St
Hialeah, FL 33014-4403

Mailing address

1955 W 68TH St
Hialeah, FL 33014-4403
Phone (786) 257-1646

Other names 1

  • PALMETTO DENTAL CARE INC Doing business as

National Provider Directory

National Provider Directory

Locations

1955 W 68th St
Hialeah, FL 33014
Phone (785) 257-1646

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": "1631059200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1631059200000",
    "number": "1619646106",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1955 W 68TH ST",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330144403",
            "telephone_number": "786-257-1646"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1955 W 68TH ST",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330144403",
            "telephone_number": "786-257-1646"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PALMETTO DENTAL CARE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-09-08",
        "last_updated": "2021-09-08",
        "certification_date": "2021-09-08",
        "status": "A",
        "authorized_official_last_name": "SIMBACO",
        "authorized_official_first_name": "WALTER",
        "authorized_official_title_or_position": "OWNER/GENERAL DENTIST",
        "authorized_official_telephone_number": "786-257-1646",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "PALMETTO DENTAL CARE INC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Hialeah, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 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.