Organization Active NPI

Andy Gaertner DMD PA

  • General Practice Dentistry
  • Miami, FL
National Provider Identifier
1669912192
Registry record updated Mar 2, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DN18314 Issued in FL
Legal business name
ANDY GAERTNER DMD PA
Practice address
8501 SW 124TH Ave Ste 104
Miami, FL 33183-4631
Phone
(305) 274-6500
Fax
(305) 274-0920
NPI assigned
Mar 2, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 2, 2017

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

Authorized official

Name
Dr. Andy Gaertner
Title
DMD
Phone
(305) 916-8582

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223G0001X DN18314 FL Primary

Addresses

Primary practice location

8501 SW 124TH Ave Ste 104
Miami, FL 33183-4631

Mailing address

8501 SW 124TH Ave Ste 104
Miami, FL 33183-4631
Phone (305) 274-6500

Other names 1

  • Bliss Dental Doing business as

National Provider Directory

National Provider Directory

Locations

8501 SW 124th Ave
Ste 104
Miami, FL 33183
Phone (305) 274-6500

Practitioners & affiliated clinicians

Practitioners 1

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": "1488412800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1488412800000",
    "number": "1669912192",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8501 SW 124TH AVE STE 104",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331834631",
            "telephone_number": "305-274-6500",
            "fax_number": "305-274-0920"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8501 SW 124TH AVE STE 104",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331834631",
            "telephone_number": "305-274-6500",
            "fax_number": "305-274-0920"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANDY GAERTNER DMD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-03-02",
        "last_updated": "2017-03-02",
        "status": "A",
        "authorized_official_last_name": "GAERTNER",
        "authorized_official_first_name": "ANDY",
        "authorized_official_title_or_position": "DMD",
        "authorized_official_telephone_number": "305-916-8582",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "FL",
            "license": "DN18314",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Bliss Dental",
            "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 Mar 2, 2017; 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.