NPIMap

Organization Active NPI

Dental Group of Miami PA

  • Dentist
  • Miami, FL
National Provider Identifier
1649281262
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
DN11226 Issued in FL
Legal business name
DENTAL GROUP OF MIAMI PA
Practice address
4500 NW 7TH Street
Dental Group of Miami PA
Miami, FL 33126-2307
Phone
(305) 433-9206
Fax
(305) 567-3482
NPI assigned
Aug 10, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Jose R Calvo Jr., DDSNPI 1831100452
Title
Office Doctor
Phone
(305) 443-9206

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
Dentist 122300000X DN11226 FL Primary

Addresses

Primary practice location

4500 NW 7TH Street
Dental Group of Miami PA
Miami, FL 33126-2307

Mailing address

4500 NW 7TH Street
Dental Group of Miami PA
Miami, FL 33126-2307
Phone (305) 433-9206

Other identifiers 3

IdentifierTypeStateIssuer
41061MedicaidFL
183943OtherCOMP BENEFITS
67921OtherBLUE CROSS BLUE SHIELD

National Provider Directory

National Provider Directory

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": "1155168000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1649281262",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4500 NW 7TH STREET",
            "address_2": "DENTAL GROUP OF MIAMI PA",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331262307",
            "telephone_number": "305-433-9206",
            "fax_number": "305-567-3482"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4500 NW 7TH STREET",
            "address_2": "DENTAL GROUP OF MIAMI PA",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331262307",
            "telephone_number": "305-433-9206",
            "fax_number": "305-567-3482"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DENTAL GROUP OF MIAMI PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-10",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "CALVO",
        "authorized_official_first_name": "JOSE",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "OFFICE DOCTOR",
        "authorized_official_telephone_number": "305-443-9206",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "FL",
            "license": "DN11226",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "41061",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "COMP BENEFITS",
            "identifier": "183943",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "67921",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

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 Aug 22, 2020; 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.