NPIMap

Organization Active NPI

Southeastrern Dental Assoc, VII, PA

  • Periodontics
  • Miami, FL
National Provider Identifier
1669703443
Registry record updated Jan 19, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
PeriodonticsTaxonomy code 1223P0300X
License
DN 14485 Issued in FL
Legal business name
SOUTHEASTRERN DENTAL ASSOC, VII, PA
Practice address
2482 SW 27TH Ter
Miami, FL 33133-3119
Phone
(305) 859-7949
Fax
(305) 866-7127
NPI assigned
Jan 19, 2010
Organization subpart
Yes
Parent organization
SOUTHEASTERN DENTAL ASSOC. I, PAAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jan 19, 2010

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

Authorized official

Name
Dr. Kenneth D Rubinstein, D.M.D
Title
President
Phone
(305) 866-7127

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PeriodonticsGroup: 193200000X MULTI-SPECIALTY GROUP 1223P0300X DN 14485 FL Primary

Addresses

Primary practice location

2482 SW 27TH Ter
Miami, FL 33133-3119

Mailing address

2482 SW 27TH Ter
Miami, FL 33133-3119
Phone (305) 859-7949

National Provider Directory

National Provider Directory

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 2

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": "1263859200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1263859200000",
    "number": "1669703443",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2482 SW 27TH TER",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331333119",
            "telephone_number": "305-859-7949",
            "fax_number": "305-866-7127"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2482 SW 27TH TER",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331333119",
            "telephone_number": "305-859-7949",
            "fax_number": "305-866-7127"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHEASTRERN DENTAL ASSOC, VII, PA",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SOUTHEASTERN DENTAL ASSOC. I, PA",
        "enumeration_date": "2010-01-19",
        "last_updated": "2010-01-19",
        "status": "A",
        "authorized_official_last_name": "RUBINSTEIN",
        "authorized_official_first_name": "KENNETH",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "305-866-7127",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.M.D"
    },
    "taxonomies": [
        {
            "code": "1223P0300X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Periodontics",
            "state": "FL",
            "license": "DN 14485",
            "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 Jan 19, 2010; 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.