Active NPI
Carlos Quilichini, D.D.S.
- Dentist
- Miramar, FL
National Provider Identifier
1700079399
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- DN00011673
- Practice address
- 4700 SW 160TH Ave Apt 415
Miramar, FL 33027-5716 - Phone
- (954) 274-4027
- NPI assigned
- Aug 27, 2007
- Last updated
- Aug 27, 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 | DN00011673 | FL | Primary |
Addresses
Primary practice location
4700 SW 160TH Ave Apt 415
Miramar, FL 33027-5716
Mailing address
4700 SW 160 TH Avenue
Apt 415
Miramar, FL 33027
Phone (954) 274-4027
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 |
|---|---|---|---|
| DN00011673 | FL | MD | Dentist |
Networks
- Freedom Health HMO Network
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1188172800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1188172800000",
"number": "1700079399",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4700 SW 160 TH AVENUE",
"address_2": "APT 415",
"city": "MIRAMAR",
"state": "FL",
"postal_code": "33027",
"telephone_number": "954-274-4027"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4700 SW 160TH AVE APT 415",
"city": "MIRAMAR",
"state": "FL",
"postal_code": "330275716",
"telephone_number": "954-274-4027"
}
],
"practiceLocations": [],
"basic": {
"last_name": "QUILICHINI",
"first_name": "CARLOS",
"name_prefix": "Dr.",
"credential": "D.D.S.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-08-27",
"last_updated": "2007-08-27",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "FL",
"license": "DN00011673",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Miramar, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.