Individual provider Active NPI

Osvaldo Mayoral

  • General Practice Dentistry
  • Miami, FL
National Provider Identifier
1679783450
Registry record updated Apr 14, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DN11644 Issued in FL
Practice address
8950 SW 74 Court
Suite 1212
Miami, FL 33156
Phone
(305) 670-8088
Fax
(305) 670-2154
NPI assigned
May 23, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 14, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X DN11644 FL Primary

Addresses

Primary practice location

8950 SW 74 Court
Suite 1212
Miami, FL 33156

Mailing address

8950 SW 74 Court
Suite 1212
Miami, FL 33156
Phone (305) 670-8088

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
DN11644FLMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Kenward & Mayoral Dentistry Partnership CurrentSince Oct 11, 2020 Accepting new patients
Kenward and Mayoral Dentistry Partnership General Practice Past Accepting new patients

Locations

8950 SW 74th Ct
Ste 1212
Miami, FL 33156
Phone (305) 670-8088

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": "1179878400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1586822400000",
    "number": "1679783450",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8950 SW 74 COURT",
            "address_2": "SUITE 1212",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "33156",
            "telephone_number": "305-670-8088",
            "fax_number": "305-670-2154"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8950 SW 74 COURT",
            "address_2": "SUITE 1212",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "33156",
            "telephone_number": "305-670-8088",
            "fax_number": "305-670-2154"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAYORAL",
        "first_name": "OSVALDO",
        "name_prefix": "Dr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-23",
        "last_updated": "2020-04-14",
        "certification_date": "2020-04-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "FL",
            "license": "DN11644",
            "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 Apr 14, 2020; 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.