Individual provider Active NPI

Lidia M Paz, DDS

  • General Practice Dentistry
  • Homestead, FL
National Provider Identifier
1700073871
Registry record updated Oct 2, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DN17927 Issued in FL
Practice address
950 N Krome Ave
Suite 201
Homestead, FL 33030-4400
Phone
(786) 423-2517
NPI assigned
Oct 2, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 2, 2007

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 DN17927 FL Primary

Addresses

Primary practice location

950 N Krome Ave
Suite 201
Homestead, FL 33030-4400

Mailing address

950 N Krome Ave
Suite 201
Homestead, FL 33030-4400
Phone (786) 423-2517

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
I20151228002019 FL Order and Referring Only - Oral SurgeryPractitioner - Oral Surgery 1557662822

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DN17927FLMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Dr Lidia M Paz Dos PA PastSince Oct 12, 2007 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.

NPI Registry JSON

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

{
    "created_epoch": "1191283200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1191283200000",
    "number": "1700073871",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "950 N KROME AVE",
            "address_2": "SUITE 201",
            "city": "HOMESTEAD",
            "state": "FL",
            "postal_code": "330304400",
            "telephone_number": "786-423-2517"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "950 N KROME AVE",
            "address_2": "SUITE 201",
            "city": "HOMESTEAD",
            "state": "FL",
            "postal_code": "330304400",
            "telephone_number": "786-423-2517"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PAZ",
        "first_name": "LIDIA",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-10-02",
        "last_updated": "2007-10-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "FL",
            "license": "DN17927",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Homestead, FL

Sources for this page

Verify at the official NPI Registry.