Individual provider Active NPI

Alismei Valdes Diaz, DMD

  • General Practice Dentistry
  • Homestead, FL
National Provider Identifier
1689244204
Registry record updated Aug 19, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
26096 Issued in FL
Practice address
23250 SW 152ND Ave
Homestead, FL 33032-2002
Phone
(786) 350-6751
NPI assigned
Jun 27, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 19, 2021

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 26096 FL Primary

Addresses

Primary practice location

23250 SW 152ND Ave
Homestead, FL 33032-2002

Mailing address

805 N Homestead Blvd
Homestead, FL 33030-5024
Phone (786) 410-6656

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20211023000128 FL Order and Referring Only - DentistPractitioner - Dentist 5294123253

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
26096FLMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Homestead Modern Dentistry, PA CurrentSince Aug 28, 2021 Accepting new patients

Locations

805 N Homestead Blvd
Homestead, FL 33030
Phone (786) 410-6656

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": "1624752000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1629331200000",
    "number": "1689244204",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "805 N HOMESTEAD BLVD",
            "city": "HOMESTEAD",
            "state": "FL",
            "postal_code": "330305024",
            "telephone_number": "786-410-6656"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23250 SW 152ND AVE",
            "city": "HOMESTEAD",
            "state": "FL",
            "postal_code": "330322002",
            "telephone_number": "786-350-6751"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VALDES DIAZ",
        "first_name": "ALISMEI",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-06-27",
        "last_updated": "2021-08-19",
        "certification_date": "2021-08-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "FL",
            "license": "26096",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Homestead, FL

Sources for this page

Verify at the official NPI Registry.