Individual provider Active NPI

Yohayra Elizabeth Chardon, DDS

  • Pediatric Dentistry
  • Miami, FL
National Provider Identifier
1689063133
Registry record updated Jul 7, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
License
DN24237 Issued in FL
Practice address
9211 Sunset Dr
Miami, FL 33173-3225
Phone
(305) 361-1192
Fax
(305) 598-3675
NPI assigned
Jan 21, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 7, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Dentistry 1223P0221X DN24237 FL Primary

Addresses

Primary practice location

9211 Sunset Dr
Miami, FL 33173-3225

Mailing address

9211 Sunset Dr
Miami, FL 33173-3225
Phone (305) 361-1192

Other practice location 1

72 Bulwer Pl
Brooklyn, NY 11207-1903
Phone (516) 325-3997

Other practice location 2

15831 SW 139th Pl
Miami, FL 33177-1096
Phone (516) 325-3997

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
DN24237FLMDPediatric Dentist

Practice roles

OrganizationSpecialtyStatusNew patients
Pediatric Dentistry Only PA Pediatric Dentistry CurrentSince Sep 28, 2021 Accepting new patients

Locations

9211 Sunset Dr
Miami, FL 33173
Phone (305) 361-1192

Organizations & group practices 1

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": "1421798400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1625616000000",
    "number": "1689063133",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9211 SUNSET DR",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331733225",
            "telephone_number": "305-361-1192"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9211 SUNSET DR",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331733225",
            "telephone_number": "305-361-1192",
            "fax_number": "305-598-3675"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "72 Bulwer Pl",
            "address_purpose": "LOCATION",
            "city": "Brooklyn",
            "state": "NY",
            "postal_code": "112071903",
            "country_code": "US",
            "telephone_number": "516-325-3997",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "15831 SW 139th Pl",
            "address_purpose": "LOCATION",
            "city": "Miami",
            "state": "FL",
            "postal_code": "331771096",
            "country_code": "US",
            "telephone_number": "516-325-3997",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CHARDON",
        "first_name": "YOHAYRA",
        "middle_name": "ELIZABETH",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-01-21",
        "last_updated": "2021-07-07",
        "certification_date": "2021-07-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "FL",
            "license": "DN24237",
            "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 Jul 7, 2021; 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.