Active NPI
Katherine Mercado, DMD
- Dentist
- Pinecrest, FL
National Provider Identifier
1659891190
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- DN22693
- Practice address
- 12695 S Dixie Hwy
Pinecrest, FL 33156-5963 - Phone
- (305) 733-0808
- NPI assigned
- Jun 26, 2017
- Last updated
- Oct 10, 2024
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | DN22693 | FL | Primary |
Addresses
Primary practice location
12695 S Dixie Hwy
Pinecrest, FL 33156-5963
Mailing address
14721 SW 39TH Ter
Miami, FL 33185-4970
Phone (305) 733-0808
Other practice location 1
14721 SW 39th Ter
Miami, FL 33185-4970
Phone (305) 733-0808
Other practice location 2
10201 Hammocks Blvd Ste 146
Miami, FL 33196-3785
Phone (305) 382-5000
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DN22693 | FL | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Anillo Dental Center Inc | Dentist | Past | 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Dentist
- Miami, FL
- NPI 1124446281
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1498435200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1728518400000",
"number": "1659891190",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "14721 SW 39TH TER",
"city": "MIAMI",
"state": "FL",
"postal_code": "331854970",
"telephone_number": "305-733-0808"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12695 S DIXIE HWY",
"city": "PINECREST",
"state": "FL",
"postal_code": "331565963",
"telephone_number": "305-733-0808"
}
],
"practiceLocations": [
{
"address_1": "14721 SW 39th Ter",
"address_purpose": "LOCATION",
"city": "Miami",
"state": "FL",
"postal_code": "331854970",
"country_code": "US",
"telephone_number": "305-733-0808",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "10201 Hammocks Blvd Ste 146",
"address_purpose": "LOCATION",
"city": "Miami",
"state": "FL",
"postal_code": "331963785",
"country_code": "US",
"telephone_number": "305-382-5000",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MERCADO",
"first_name": "KATHERINE",
"name_prefix": "Dr.",
"credential": "DMD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-06-26",
"last_updated": "2024-10-10",
"certification_date": "2024-10-10",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "FL",
"license": "DN22693",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Pinecrest, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 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.