Organization Active NPI

Hialeah Dental Specialty Associates, P.L.

  • Oral and Maxillofacial Pathology Dentistry
  • Hialeah, FL
National Provider Identifier
1649375254
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral and Maxillofacial Pathology DentistryTaxonomy code 1223P0106X
License
DN5112 Issued in FL
Legal business name
HIALEAH DENTAL SPECIALTY ASSOCIATES, P.L.
Practice address
900 W 49TH St
Suite 400
Hialeah, FL 33012-3402
Phone
(305) 558-1211
Fax
(305) 557-6360
NPI assigned
Sep 14, 2006
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. Robert B Cushing, DDS.NPI 1831440510
Title
Member
Phone
(305) 558-1211

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
Oral and Maxillofacial Pathology DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223P0106X DN5112 FL Primary

Addresses

Primary practice location

900 W 49TH St
Suite 400
Hialeah, FL 33012-3402

Mailing address

900 W 49TH St
Suite 400
Hialeah, FL 33012-3402
Phone (305) 558-1211

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1158192000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1649375254",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "900 W 49TH ST",
            "address_2": "SUITE 400",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330123402",
            "telephone_number": "305-558-1211",
            "fax_number": "305-557-6360"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "900 W 49TH ST",
            "address_2": "SUITE 400",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330123402",
            "telephone_number": "305-558-1211",
            "fax_number": "305-557-6360"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HIALEAH DENTAL SPECIALTY ASSOCIATES, P.L.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-14",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "CUSHING",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "305-558-1211",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS."
    },
    "taxonomies": [
        {
            "code": "1223P0106X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Oral and Maxillofacial Pathology",
            "state": "FL",
            "license": "DN5112",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hialeah, 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.