Individual provider Active NPI

Jayme Alencar de Oliveira Filho, D.D.S.

  • General Practice Dentistry
  • Miami, FL
National Provider Identifier
1679775803
Registry record updated Aug 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DTP483 Issued in FL
Practice address
1611 NW 12TH Ave
Acc East 2ND Floor - Dental Clinic
Miami, FL 33136-1005
Phone
(305) 585-6857
NPI assigned
Jun 1, 2007
Last updated
Aug 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 8, 2007

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Public Health Dentistry 1223D0001X DTP483 FL
General Practice Dentistry 1223G0001X DTP483 FL Primary

Addresses

Primary practice location

1611 NW 12TH Ave
Acc East 2ND Floor - Dental Clinic
Miami, FL 33136-1005

Mailing address

7725 SW 86TH St
Apt#223
Miami, FL 33143-7250
Phone (305) 409-3977

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)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1180656000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1186531200000",
    "number": "1679775803",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7725 SW 86TH ST",
            "address_2": "APT#223",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331437250",
            "telephone_number": "305-409-3977"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1611 NW 12TH AVE",
            "address_2": "ACC EAST 2ND FLOOR - DENTAL CLINIC",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331361005",
            "telephone_number": "305-585-6857"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OLIVEIRA FILHO",
        "first_name": "JAYME",
        "middle_name": "ALENCAR DE",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-06-01",
        "last_updated": "2007-08-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223D0001X",
            "taxonomy_group": "",
            "desc": "Dentist, Dental Public Health",
            "state": "FL",
            "license": "DTP483",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "FL",
            "license": "DTP483",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Aug 8, 2007; 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.