Organization Active NPI

South Dental at Hammocks, Inc

  • Dentist
  • Miami, FL
National Provider Identifier
1710140546
Registry record updated Jul 2, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
13563 Issued in FL
Legal business name
SOUTH DENTAL AT HAMMOCKS, INC
Practice address
16233 SW 88TH St
Miami, FL 33196-4912
Phone
(305) 383-2090
Fax
(305) 408-6924
NPI assigned
Jul 2, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 2, 2008

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

Authorized official

Name
Dr. Jahn Oppenheimer, DDS
Title
Owner
Phone
(305) 388-7599

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193200000X MULTI-SPECIALTY GROUP 122300000X 13563 FL Primary

Addresses

Primary practice location

16233 SW 88TH St
Miami, FL 33196-4912

Mailing address

16233 SW 88TH St
Miami, FL 33196-4912
Phone (305) 383-2090

National Provider Directory

National Provider Directory

Locations

16233 SW 88th St
Miami, FL 33196
Phone (305) 383-2090

NPI Registry JSON

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

{
    "created_epoch": "1214956800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1214956800000",
    "number": "1710140546",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16233 SW 88TH ST",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331964912",
            "telephone_number": "305-383-2090",
            "fax_number": "305-408-6924"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16233 SW 88TH ST",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331964912",
            "telephone_number": "305-383-2090",
            "fax_number": "305-408-6924"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTH DENTAL AT HAMMOCKS, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-07-02",
        "last_updated": "2008-07-02",
        "status": "A",
        "authorized_official_last_name": "OPPENHEIMER",
        "authorized_official_first_name": "JAHN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "305-388-7599",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "FL",
            "license": "13563",
            "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 2, 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.