NPIMap

Organization Active NPI

Balmir-Thevenin & Associates D.D.S., P.a.,

  • Dentist
  • Miami, FL
National Provider Identifier
1639403868
Registry record updated Sep 21, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
DN0013260 Issued in FL
Legal business name
BALMIR-THEVENIN & ASSOCIATES D.D.S., P.A.,
Doing business as
Balmir-Thevenin & Associates D.D.S., P.A.,
Practice address
10621 N Kendall Dr
Suite # 102
Miami, FL 33176-8708
Phone
(305) 271-0510
Fax
(305) 271-3532
NPI assigned
Sep 21, 2009
Last updated
Sep 21, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 21, 2009

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

Authorized official

Name
Dr. Joelle Marie Balmir-Thevenin, DDS
Title
Dentist/Owner
Phone
(305) 271-0510

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X DN0013260 FL Primary
Oral and Maxillofacial Surgery (Dentist) 1223S0112X BC1102336 FL

Addresses

Primary practice location

10621 N Kendall Dr
Suite # 102
Miami, FL 33176-8708

Mailing address

10621 N Kendall Dr
Suite # 102
Miami, FL 33176-8708
Phone (305) 271-0510

Other identifiers 2

IdentifierTypeStateIssuer
1972618361OtherFLNPI
071317100MedicaidFL

Other names 1

  • Balmir-Thevenin & Associates D.D.S., P.A., Doing business as

National Provider Directory

National Provider Directory

Locations

10621 N Kendall Dr
Ste 102
Miami, FL 33176
Phone (305) 271-0510

Practitioners & affiliated clinicians

Practitioners 3

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": "1253491200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1253491200000",
    "number": "1639403868",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10621 N KENDALL DR",
            "address_2": "SUITE # 102",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331768708",
            "telephone_number": "305-271-0510",
            "fax_number": "305-271-3532"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10621 N KENDALL DR",
            "address_2": "SUITE # 102",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331768708",
            "telephone_number": "305-271-0510",
            "fax_number": "305-271-3532"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BALMIR-THEVENIN & ASSOCIATES D.D.S., P.A.,",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-09-21",
        "last_updated": "2009-09-21",
        "status": "A",
        "authorized_official_last_name": "BALMIR-THEVENIN",
        "authorized_official_first_name": "JOELLE MARIE",
        "authorized_official_title_or_position": "DENTIST/OWNER",
        "authorized_official_telephone_number": "305-271-0510",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "FL",
            "license": "DN0013260",
            "primary": true
        },
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "FL",
            "license": "BC1102336",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1972618361",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "071317100",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Balmir-Thevenin & Associates D.D.S., P.A.,",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Sep 21, 2009; 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.