Modern Dental Center, PA

Primary specialty

DentistTaxonomy code 122300000X

License

DN12245 Issued in FL

Legal business name

MODERN DENTAL CENTER, PA

Practice address

8221 W Flagler St
Miami, FL 33144-2027

Phone

(305) 266-7000

Fax

(305) 261-0397

NPI assigned

Nov 14, 2007

Last updated

Nov 14, 2007By 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

Dr. Ciro Antonio Sotomayor III, DDSNPI 1043496995

Title

Orthodontist

Phone

(305) 266-7000

Specialties & licenses 1

Addresses

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.

• Ciro A Sotomayor III, DDS

  • Dentist
  • Miami, FL
  • NPI 1043496995
  NPD (past) Authorized official
• Eliseo Ruiz, D.M.D

  • General Practice Dentistry
  • Miami, FL
  • NPI 1457589525
  NPD (past)
• Saili Ruiz, DMD

  • Dentist
  • Miami, FL
  • NPI 1932514296
  NPD (past)

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

{
    "created_epoch": "1194998400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1194998400000",
    "number": "1649451022",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8221 W FLAGLER ST",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331442027",
            "telephone_number": "305-266-7000",
            "fax_number": "305-261-0397"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8221 W FLAGLER ST",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331442027",
            "telephone_number": "305-266-7000",
            "fax_number": "305-261-0397"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MODERN DENTAL CENTER, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-14",
        "last_updated": "2007-11-14",
        "status": "A",
        "authorized_official_last_name": "SOTOMAYOR",
        "authorized_official_first_name": "CIRO",
        "authorized_official_middle_name": "ANTONIO",
        "authorized_official_title_or_position": "ORTHODONTIST",
        "authorized_official_telephone_number": "305-266-7000",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "III",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "FL",
            "license": "DN12245",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ryan Mocerino, M.D.
• Santiago Mock Castillo Sr., APRN, RN, BSN
• Krissty Mock
• Model Retreat Inc
• Modern Dental by Smile, PA
• Modern Med Centers LLC
• Modern Psychology
• Modern Urology Group LLC (Modern Urology)
• Moderna Smile of Galloway Corp
• Moderna Smile of Kendall Corp

• Dentist in Miami, FL
• Providers in Miami, FL by specialty
• Dentist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 2007; 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.