Individual provider Active NPI

Maria Alexandra Flores Bazzichelli, D.M.D.

  • General Practice Dentistry
  • Coral Gables, FL
National Provider Identifier
1669735619
Registry record updated Jun 22, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DN 19783 Issued in FL
Practice address
4251 Salzedo St
#614
Coral Gables, FL 33146-1453
Phone
(305) 505-9797
NPI assigned
Jun 22, 2012
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 22, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X DN 19783 FL Primary

Addresses

Primary practice location

4251 Salzedo St
#614
Coral Gables, FL 33146-1453

Mailing address

4251 Salzedo St
#614
Coral Gables, FL 33146-1453
Phone (305) 505-9797

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

LicenseStateTypeSpecialty
DN 19783FLMDGeneral Practice Dentistry

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1340323200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1340323200000",
    "number": "1669735619",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4251 SALZEDO ST",
            "address_2": "#614",
            "city": "CORAL GABLES",
            "state": "FL",
            "postal_code": "331461453",
            "telephone_number": "305-505-9797"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4251 SALZEDO ST",
            "address_2": "#614",
            "city": "CORAL GABLES",
            "state": "FL",
            "postal_code": "331461453",
            "telephone_number": "305-505-9797"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FLORES BAZZICHELLI",
        "first_name": "MARIA",
        "middle_name": "ALEXANDRA",
        "credential": "D.M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-06-22",
        "last_updated": "2012-06-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "FL",
            "license": "DN 19783",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Coral Gables, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 2012; 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.