Balboa and Associates Dental Group

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DN20434 Issued in FL

Legal business name

BALBOA AND ASSOCIATES DENTAL GROUP

Practice address

14527 SW 42ND St
Miami, FL 33175-7801

Phone

(305) 503-5122

Fax

(305) 328-9636

NPI assigned

Oct 29, 2015

Last updated

Oct 29, 2015By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Rafael G Balboa, DMDNPI 1497184097

Title

Dentist

Phone

(305) 503-5122

Specialties & licenses 1

Addresses

Locations

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.

• Rafael G Balboa, DMD

  • Dentist
  • Miami, FL
  • NPI 1497184097
  NPD (past) Authorized official
• Adrian Estopinales Paredes, DDS

  • Dentist
  • Miami, FL
  • NPI 1598454399
  NPD (past)

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

{
    "created_epoch": "1446076800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1446076800000",
    "number": "1639541659",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14527 SW 42ND ST",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331757801",
            "telephone_number": "305-503-5122",
            "fax_number": "305-328-9636"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14527 SW 42ND ST",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331757801",
            "telephone_number": "305-503-5122",
            "fax_number": "305-328-9636"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BALBOA AND ASSOCIATES DENTAL GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-10-29",
        "last_updated": "2015-10-29",
        "status": "A",
        "authorized_official_last_name": "BALBOA",
        "authorized_official_first_name": "RAFAEL",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "305-503-5122",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "FL",
            "license": "DN20434",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Maylen Balart Cid
• Ayosen Balart Mejias
• Leonel Balart Puig
• Yolanda Balbin Hernandez
• Balbina Home Care
• Omar Balboa Lopez, CSA
• Allison Balboa
• Audrey Balboa
• Norka Balboa, OT
• Rafael G Balboa, DMD

• General Practice Dentistry in Miami, FL
• Providers in Miami, FL by specialty
• General Practice Dentistry in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2015; 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.