Individual provider Active NPI

Alejandro Piedra

  • Dentist
  • Cooper City, FL
National Provider Identifier
1639550056
Registry record updated Feb 25, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
DN 21252 Issued in FL
Practice address
10640 Griffin Rd, Unit 107
Cooper City, FL 33328
Phone
(954) 515-1473
NPI assigned
Jun 11, 2015
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 25, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X DN 21252 FL Primary

Addresses

Primary practice location

10640 Griffin Rd, Unit 107
Cooper City, FL 33328

Mailing address

10640 Griffin Rd, Unit 107
Cooper City, FL 33328
Phone (954) 515-1473

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160329001377 FL Order and Referring Only - DentistPractitioner - Dentist 9638476146

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DN 21252FLMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Alejandro Piedra DMD PA Dentist CurrentSince Feb 13, 2022 Accepting new patients
Carlos a Coello DMD PA Past Accepting new patients

Locations

10640 Griffin Rd
Ste 107
Davie, FL 33328
Phone (954) 515-1473

Networks

  • Freedom Health HMO Network

Organizations & group practices 2

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": "1433980800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1771977600000",
    "number": "1639550056",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10640 GRIFFIN RD, UNIT 107",
            "city": "COOPER CITY",
            "state": "FL",
            "postal_code": "33328",
            "telephone_number": "954-515-1473",
            "fax_number": "954-515-1474"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10640 GRIFFIN RD, UNIT 107",
            "city": "COOPER CITY",
            "state": "FL",
            "postal_code": "33328",
            "telephone_number": "954-515-1473"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PIEDRA",
        "first_name": "ALEJANDRO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-06-11",
        "last_updated": "2026-02-25",
        "certification_date": "2026-02-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "FL",
            "license": "DN 21252",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cooper City, FL

Sources for this page

Verify at the official NPI Registry.