Individual provider Active NPI

Yanetty Casanova Valdes, DA

  • Dental Assistant
  • Miami, FL
National Provider Identifier
1659131027
Registry record updated Mar 21, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental AssistantTaxonomy code 126800000X
Practice address
9075 SW 162ND Ave Ste 110
Miami, FL 33196-6442
Phone
(305) 456-8314
Fax
(786) 320-6281
NPI assigned
Mar 21, 2024
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 21, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental AssistantGroup: 193400000X SINGLE SPECIALTY GROUP 126800000X Primary

Addresses

Primary practice location

9075 SW 162ND Ave Ste 110
Miami, FL 33196-6442

Mailing address

9075 SW 162ND Ave Ste 110
Miami, FL 33196-6442
Phone (305) 456-8314

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Pediatric Dental Center of West Kendall Inc Single Specialty PastSince Mar 24, 2024 Accepting new patients

Organizations & group practices 1

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": "1710979200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1710979200000",
    "number": "1659131027",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9075 SW 162ND AVE STE 110",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331966442",
            "telephone_number": "305-456-8314",
            "fax_number": "786-320-6281"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9075 SW 162ND AVE STE 110",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331966442",
            "telephone_number": "305-456-8314",
            "fax_number": "786-320-6281"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CASANOVA VALDES",
        "first_name": "YANETTY",
        "credential": "DA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-03-21",
        "last_updated": "2024-03-21",
        "certification_date": "2024-03-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "126800000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dental Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Mar 21, 2024; 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.