Active NPI
Dental Advantage Administration
- General Practice Dentistry
- Miami, FL
National Provider Identifier
1669743761
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 19356
- Legal business name
- DENTAL ADVANTAGE ADMINISTRATION
- Doing business as
- DentalAdvantage Administration
- Practice address
- 3383 NW 7TH St
Suite 101
Miami, FL 33125-4140 - Phone
- (305) 642-0003
- Fax
- (305) 642-0009
- NPI assigned
- Jan 20, 2012
- Organization subpart
- Yes
- Parent organization
- DENTAL ADVANTAGE ADMINISTRATION
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Reyna Lacayo, ADMINISTRATION
- Title
- Office Manager
- Phone
- (305) 642-0003
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 19356 | FL | Primary |
Addresses
Primary practice location
3383 NW 7TH St
Suite 101
Miami, FL 33125-4140
Mailing address
3383 NW 7TH St
Suite 101
Miami, FL 33125-4140
Phone (305) 642-0003
Other names 1
- DentalAdvantage Administration
National Provider Directory
National Provider Directory- Part of
- Dental Advantage Administration
Locations
3383 NW 7th St
Ste 101
Miami, FL 33125
Phone (305) 642-0003
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1327017600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1327017600000",
"number": "1669743761",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3383 NW 7TH ST",
"address_2": "SUITE 101",
"city": "MIAMI",
"state": "FL",
"postal_code": "331254140",
"telephone_number": "305-642-0003",
"fax_number": "305-642-0009"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3383 NW 7TH ST",
"address_2": "SUITE 101",
"city": "MIAMI",
"state": "FL",
"postal_code": "331254140",
"telephone_number": "305-642-0003",
"fax_number": "305-642-0009"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DENTAL ADVANTAGE ADMINISTRATION",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "DENTAL ADVANTAGE ADMINISTRATION",
"enumeration_date": "2012-01-20",
"last_updated": "2012-01-20",
"status": "A",
"authorized_official_last_name": "LACAYO",
"authorized_official_first_name": "REYNA",
"authorized_official_title_or_position": "OFFICE MANAGER",
"authorized_official_telephone_number": "305-642-0003",
"authorized_official_credential": "ADMINISTRATION"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Dentist, General Practice",
"state": "FL",
"license": "19356",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "DentalAdvantage Administration",
"code": "3",
"type": "Doing Business As"
}
]
}
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 20, 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.