Active NPI
Elias Tobon, D.M.D
- Dentist
- Coral Gables, FL
National Provider Identifier
1689794885
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- DN14672
- Practice address
- 401 Miracle Mile
Suite 109
Coral Gables, FL 33134 - Phone
- (305) 529-9595
- Fax
- (305) 529-5190
- NPI assigned
- Mar 30, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | DN14672 | FL | Primary |
Addresses
Primary practice location
401 Miracle Mile
Suite 109
Coral Gables, FL 33134
Mailing address
144 NE 43Rd St
Apt #1
Miami, FL 33137-3412
Phone (305) 529-9595
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
| License | State | Type | Specialty |
|---|---|---|---|
| DN14672 | FL | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| South Dental of Davie, Inc | Dentist | Current | Accepting new patients |
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.
-
- Dentist
- Davie, FL
- NPI 1477413896
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1175212800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1554163200000",
"number": "1689794885",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "144 NE 43RD ST",
"address_2": "APT #1",
"city": "MIAMI",
"state": "FL",
"postal_code": "331373412",
"telephone_number": "305-529-9595",
"fax_number": "305-529-5190"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "401 MIRACLE MILE",
"address_2": "SUITE 109",
"city": "CORAL GABLES",
"state": "FL",
"postal_code": "33134",
"telephone_number": "305-529-9595",
"fax_number": "305-529-5190"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TOBON",
"first_name": "ELIAS",
"name_prefix": "Dr.",
"credential": "D.M.D",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-03-30",
"last_updated": "2019-04-02",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "FL",
"license": "DN14672",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Coral Gables, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.