Organization Active NPI

Dental Advantage Administration

  • General Practice Dentistry
  • Miami, FL
National Provider Identifier
1669743761
Registry record updated Jan 20, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
19356 Issued in FL
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 ADMINISTRATIONAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jan 20, 2012

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)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 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 Doing business as

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.

Verify at the official NPI Registry.