Organization Active NPI

Sunny Isles Dental

  • General Practice Dentistry
  • Sunny Isles Beach, FL
National Provider Identifier
1689915480
Registry record updated Mar 5, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
SUNNY ISLES DENTAL
Practice address
17100 Collins Ave Ste 213
Sunny Isles Beach, FL 33160-3675
Phone
(305) 944-7706
Fax
(305) 944-7763
NPI assigned
Mar 5, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 5, 2013

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

Authorized official

Name
Dr. George Y Georgiev, D.D.S.
Title
Dentist
Phone
(305) 944-7706

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223G0001X Primary

Addresses

Primary practice location

17100 Collins Ave Ste 213
Sunny Isles Beach, FL 33160-3675

Mailing address

17100 Collins Ave Ste 213
Sunny Isles Beach, FL 33160-3675

National Provider Directory

National Provider Directory

Locations

17100 Collins Ave
Ste 213
Sunny Isles Beach, FL 33160
Phone (305) 944-7706

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1362441600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1362441600000",
    "number": "1689915480",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17100 COLLINS AVE STE 213",
            "city": "SUNNY ISLES BEACH",
            "state": "FL",
            "postal_code": "331603675"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17100 COLLINS AVE STE 213",
            "city": "SUNNY ISLES BEACH",
            "state": "FL",
            "postal_code": "331603675",
            "telephone_number": "305-944-7706",
            "fax_number": "305-944-7763"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUNNY ISLES DENTAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-03-05",
        "last_updated": "2013-03-05",
        "status": "A",
        "authorized_official_last_name": "GEORGIEV",
        "authorized_official_first_name": "GEORGE",
        "authorized_official_middle_name": "Y",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "305-944-7706",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sunny Isles Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2013; 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.