Individual provider Active NPI

Jesus Rafael Barreto, D.D.S.

  • Dentist
  • Miramar, FL
National Provider Identifier
1629285283
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
DN13610 Issued in FL
Practice address
14353 Miramar Pkwy
Miramar, FL 33027-4134
Phone
(954) 441-5453
Fax
(954) 441-5107
NPI assigned
May 16, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X DN13610 FL Primary

Addresses

Primary practice location

14353 Miramar Pkwy
Miramar, FL 33027-4134

Mailing address

14353 Miramar Pkwy
Miramar, FL 33027-4134
Phone (954) 441-5453

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
DN13610FLMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Monarch Lakes Dental Group CurrentSince Dec 7, 2025 Accepting new patients

Locations

14353 Miramar Pkwy
Miramar, FL 33027
Phone (786) 343-0298

Networks

  • Freedom Health HMO Network

Organizations & group practices 1

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": "1179273600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1629285283",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14353 MIRAMAR PKWY",
            "city": "MIRAMAR",
            "state": "FL",
            "postal_code": "330274134",
            "telephone_number": "954-441-5453",
            "fax_number": "954-441-5107"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14353 MIRAMAR PKWY",
            "city": "MIRAMAR",
            "state": "FL",
            "postal_code": "330274134",
            "telephone_number": "954-441-5453",
            "fax_number": "954-441-5107"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BARRETO",
        "first_name": "JESUS",
        "middle_name": "RAFAEL",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-05-16",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "FL",
            "license": "DN13610",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miramar, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.