Organization Active NPI

Smile Perfect Dental Health II

  • General Practice Dentistry
  • Hialeah, FL
National Provider Identifier
1689195828
Registry record updated Jun 16, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DN13355 Issued in FL
Legal business name
SMILE PERFECT DENTAL HEALTH II
Practice address
1075 E 4TH Ave
Hialeah, FL 33010-4103
Phone
(305) 557-6712
NPI assigned
Jun 28, 2017
Last updated
Jun 16, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 16, 2018

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

Authorized official

Name
Daniel Ortega
Title
Office Manager
Phone
(305) 557-6712

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X DN13355 FL Primary

Addresses

Primary practice location

1075 E 4TH Ave
Hialeah, FL 33010-4103

Mailing address

580 E 49TH St
Hialeah, FL 33013-1962
Phone (305) 557-6712

Other identifiers 1

IdentifierTypeStateIssuer
002781000MedicaidFL

National Provider Directory

National Provider Directory

Locations

580 E 49th St
Hialeah, FL 33013
Phone (305) 557-6711

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1498608000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1529107200000",
    "number": "1689195828",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "580 E 49TH ST",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330131962",
            "telephone_number": "305-557-6712"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1075 E 4TH AVE",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330104103",
            "telephone_number": "305-557-6712"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SMILE PERFECT DENTAL HEALTH II",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-06-28",
        "last_updated": "2018-06-16",
        "status": "A",
        "authorized_official_last_name": "ORTEGA",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "305-557-6712"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "FL",
            "license": "DN13355",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "002781000",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hialeah, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 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.