NPIMap

Organization Active NPI

Fred Pedroletti DMD PA

  • Dental Clinic/Center
  • South Miami, FL
National Provider Identifier
1659770592
Registry record updated May 4, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
License
DN17712 Issued in FL
Legal business name
FRED PEDROLETTI DMD PA
Practice address
7231 SW 63Rd Ave
South Miami, FL 33143-4809
Phone
(305) 667-1191
NPI assigned
Aug 16, 2014
Last updated
May 4, 2021By the provider in NPPES
Organization subpart
Yes
Parent organization
MIAMI OMS LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on May 4, 2021

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

Authorized official

Name
Dr. Fred Pedroletti, DMDNPI 1265751036
Title
President/Owner
Phone
(954) 790-3130

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X DN17712 FL Primary

Addresses

Primary practice location

7231 SW 63Rd Ave
South Miami, FL 33143-4809

Mailing address

7231 SW 63Rd Ave
South Miami, FL 33143-4809
Phone (305) 667-1191

National Provider Directory

National Provider Directory
Part of
Miami Oms LLC

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

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": "1408147200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1620086400000",
    "number": "1659770592",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7231 SW 63RD AVE",
            "city": "SOUTH MIAMI",
            "state": "FL",
            "postal_code": "331434809",
            "telephone_number": "305-667-1191"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7231 SW 63RD AVE",
            "city": "SOUTH MIAMI",
            "state": "FL",
            "postal_code": "331434809",
            "telephone_number": "305-667-1191"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FRED PEDROLETTI DMD PA",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MIAMI OMS LLC",
        "enumeration_date": "2014-08-16",
        "last_updated": "2021-05-04",
        "certification_date": "2021-05-04",
        "status": "A",
        "authorized_official_last_name": "PEDROLETTI",
        "authorized_official_first_name": "FRED",
        "authorized_official_title_or_position": "PRESIDENT/OWNER",
        "authorized_official_telephone_number": "954-790-3130",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "FL",
            "license": "DN17712",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in South Miami, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 4, 2021; 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.