NPIMap

Organization Active NPI

Dental Group of South Florida V Inc

  • General Practice Dentistry
  • Miami, FL
National Provider Identifier
1669012092
Registry record updated Jan 14, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
DENTAL GROUP OF SOUTH FLORIDA V INC
Practice address
16830 SW 88TH St
Miami, FL 33196-5935
Phone
(305) 388-4886
Fax
(305) 388-9880
NPI assigned
Jan 14, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 14, 2020

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

Authorized official

Name
Mailen Perez, DDSNPI 1407674203
Title
Owner
Phone
(305) 388-4886

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
General Practice DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223G0001X Primary

Addresses

Primary practice location

16830 SW 88TH St
Miami, FL 33196-5935

Mailing address

16830 SW 88TH St
Miami, FL 33196-5935
Phone (305) 388-4886

Other names 1

  • Dental Group- of South Florida Former legal business name

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": "1578960000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1578960000000",
    "number": "1669012092",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16830 SW 88TH ST",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331965935",
            "telephone_number": "305-388-4886",
            "fax_number": "305-388-9880"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16830 SW 88TH ST",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331965935",
            "telephone_number": "305-388-4886",
            "fax_number": "305-388-9880"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DENTAL GROUP OF SOUTH FLORIDA V INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-01-14",
        "last_updated": "2020-01-14",
        "certification_date": "2020-01-14",
        "status": "A",
        "authorized_official_last_name": "PEREZ",
        "authorized_official_first_name": "MAILEN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "305-388-4886",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Dental Group- of South Florida",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

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 Jan 14, 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.