Individual provider Active NPI

Ronald Jarquin, DMD

  • Dentist
  • Miami, FL
National Provider Identifier
1689195745
Registry record updated Mar 19, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
DN22625 Issued in FL
Practice address
9507 S Dixie Hwy
Miami, FL 33156-2802
Phone
(305) 849-7949
NPI assigned
Jun 29, 2017
Last updated
Mar 19, 2018By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 19, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X DN22625 FL Primary

Addresses

Primary practice location

9507 S Dixie Hwy
Miami, FL 33156-2802

Mailing address

9507 S Dixie Hwy
Miami, FL 33156-2802
Phone (305) 849-7949

Other practice location 1

100 S Biscayne Blvd Ste 111
Miami, FL 33131-2028
Phone (305) 849-7949

Other practice location 2

1160 Kane Concourse Ste 203
Bay Harbor Islands, FL 33154-2020
Phone (305) 866-7127

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
DN22625FLMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Bowtie Dental Current Accepting new patients
Southeastern Dental Associates V, PA Past Accepting new patients

Networks

  • Freedom Health HMO 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1498694400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521417600000",
    "number": "1689195745",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9507 S DIXIE HWY",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331562802",
            "telephone_number": "305-849-7949"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9507 S DIXIE HWY",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331562802",
            "telephone_number": "305-849-7949"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "100 S Biscayne Blvd Ste 111",
            "address_purpose": "LOCATION",
            "city": "Miami",
            "state": "FL",
            "postal_code": "331312028",
            "country_code": "US",
            "telephone_number": "305-849-7949",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1160 Kane Concourse Ste 203",
            "address_purpose": "LOCATION",
            "city": "Bay Harbor Islands",
            "state": "FL",
            "postal_code": "331542020",
            "country_code": "US",
            "telephone_number": "305-866-7127",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JARQUIN",
        "first_name": "RONALD",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-06-29",
        "last_updated": "2018-03-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "FL",
            "license": "DN22625",
            "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 Mar 19, 2018; 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.