Active NPI
Milan Jockovich, DDS
- Dentist
- Miami, FL
National Provider Identifier
1710065743
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 7725
- Practice address
- 10651 Kendall Dr
Suite 215
Miami, FL 33176 - Phone
- (305) 596-6069
- Fax
- (305) 596-0856
- NPI assigned
- Nov 1, 2006
- Sex
- Male
- Sole proprietor
- No
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 | 7725 | FL | Primary |
Addresses
Primary practice location
10651 Kendall Dr
Suite 215
Miami, FL 33176
Mailing address
10651 Kendall Dr
Suite 215
Miami, FL 33176
Phone (305) 596-6069
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 |
|---|---|---|---|
| 7725 | FL | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1162339200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1710065743",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10651 KENDALL DR",
"address_2": "SUITE 215",
"city": "MIAMI",
"state": "FL",
"postal_code": "33176",
"telephone_number": "305-596-6069",
"fax_number": "305-596-0856"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10651 KENDALL DR",
"address_2": "SUITE 215",
"city": "MIAMI",
"state": "FL",
"postal_code": "33176",
"telephone_number": "305-596-6069",
"fax_number": "305-596-0856"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JOCKOVICH",
"first_name": "MILAN",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-11-01",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "FL",
"license": "7725",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Miami, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.