Individual provider Active NPI

Stephanie Marie Hernandez, DMD

  • General Practice Dentistry
  • Hialeah, FL
National Provider Identifier
1669751871
Registry record updated Aug 5, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DN19522 Issued in FL
Practice address
4201 Palm Ave Ste 2D
Hialeah, FL 33012-4462
Phone
(305) 456-6474
Fax
(305) 390-1650
NPI assigned
Aug 5, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 5, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 37163 TX
General Practice Dentistry 1223G0001X 7480 NV
General Practice Dentistry 1223G0001X DN19522 FL Primary

Addresses

Primary practice location

4201 Palm Ave Ste 2D
Hialeah, FL 33012-4462

Mailing address

10608 Indian TRL
Cooper City, FL 33328-5512
Phone (786) 417-8516

Other practice location 1

13920 SW 47th St Ste 105
Miami, FL 33175-4405
Phone (786) 408-6651

Other practice location 2

1212 S Maryland Pkwy
Las Vegas, NV 89104-1728
Phone (702) 805-8688

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NV
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260108003675 NV Practitioner - Dentist 7012493174 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Dentist
Education
Nova Southeastern Univ College of Dental Medicine, 2011
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

10608 Indian TRL
2D
Cooper City, FL 33328-5512

1212 S Maryland Pkwy
Las Vegas, NV 89104-1728

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
37163TXMDDentist
DN19522FLMDGeneral Practice Dentistry
7480NVMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Dental Excellence Partners LLC General Practice CurrentSince Dec 17, 2023 Accepting new patients
Stephanie Hernandez DMD PLLC Dentist CurrentSince Oct 22, 2025 Accepting new patients

Locations

4201 Palm Ave
Ste 2D
Hialeah, FL 33012
Phone (305) 456-6474

13920 SW 47th St
Ste 105
Miami, FL 33175
Phone (305) 480-6044

680 N University Dr
Pembroke Pines, FL 33024
Phone (954) 538-6868

1212 S Maryland Pkwy
Las Vegas, NV 89104
Phone (702) 385-3688

Networks

  • Freedom Health HMO Network
  • HealthSun Health Plans Network

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1312502400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1785888000000",
    "number": "1669751871",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10608 INDIAN TRL",
            "city": "COOPER CITY",
            "state": "FL",
            "postal_code": "333285512",
            "telephone_number": "786-417-8516"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4201 PALM AVE STE 2D",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330124462",
            "telephone_number": "305-456-6474",
            "fax_number": "305-390-1650"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "13920 SW 47th St Ste 105",
            "address_purpose": "LOCATION",
            "city": "Miami",
            "state": "FL",
            "postal_code": "331754405",
            "country_code": "US",
            "telephone_number": "786-408-6651",
            "fax_number": "786-706-1738",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1212 S Maryland Pkwy",
            "address_purpose": "LOCATION",
            "city": "Las Vegas",
            "state": "NV",
            "postal_code": "891041728",
            "country_code": "US",
            "telephone_number": "702-805-8688",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HERNANDEZ",
        "first_name": "STEPHANIE",
        "middle_name": "MARIE",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-08-05",
        "last_updated": "2026-08-05",
        "certification_date": "2026-08-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "TX",
            "license": "37163",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NV",
            "license": "7480",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "FL",
            "license": "DN19522",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hialeah, FL

Sources for this page

Verify at the official NPI Registry.