Organization Active NPI

Knight Star Inc

  • Family Medicine Physician
  • Hialeah, FL
National Provider Identifier
1700899333
Registry record updated Apr 11, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
KNIGHT STAR INC
Practice address
16782 NW 67TH Ave
Hialeah, FL 33015-4202
Phone
(305) 817-4392
Fax
(305) 817-4392
NPI assigned
Aug 14, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 11, 2008

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

Authorized official

Name
Yailen Bengochea
Title
President
Phone
(305) 817-4392

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

16782 NW 67TH Ave
Hialeah, FL 33015-4202

Mailing address

16782 NW 67TH Ave
Hialeah, FL 33015-4202
Phone (305) 817-4392

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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": "1155513600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1207872000000",
    "number": "1700899333",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16782 NW 67TH AVE",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330154202",
            "telephone_number": "305-817-4392",
            "fax_number": "305-817-4396"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16782 NW 67TH AVE",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330154202",
            "telephone_number": "305-817-4392",
            "fax_number": "305-817-4392"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KNIGHT STAR INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-14",
        "last_updated": "2008-04-11",
        "status": "A",
        "authorized_official_last_name": "BENGOCHEA",
        "authorized_official_first_name": "YAILEN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "305-817-4392"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hialeah, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 2008; 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.