Individual provider Active NPI

Deborah V George, DDS

  • Dentist
  • Miami, FL
National Provider Identifier
1720149180
Registry record updated Dec 11, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
DN12903 Issued in FL
Practice address
5607 NW 27TH Ave Ste 2
Miami, FL 33142-2826
Phone
(305) 637-6400
Fax
(305) 636-5155
NPI assigned
Dec 12, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 11, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X DN12903 FL Primary

Addresses

Primary practice location

5607 NW 27TH Ave Ste 2
Miami, FL 33142-2826

Mailing address

5607 NW 27TH Ave Ste 1
Miami, FL 33142-2826
Phone (305) 805-1700

Other identifiers 1

IdentifierTypeStateIssuer
011056900MedicaidFL

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
I20221227000014 FL Practitioner - Dentist 6406166388 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DN12903FLMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Jessie Trice Community Health System Inc Current Accepting new patients
Jessie Trice Community Health System, Inc CurrentSince Sep 2, 2022 Accepting new patients
Jessie Trice Community Health System, Inc Current Accepting new patients
Jessie Trice Community Health System, Inc CurrentSince Sep 2, 2022 Accepting new patients
Jessie Trice Community Health System Inc Past Accepting new patients

Locations

901 E 10th Ave
Ste 39
Hialeah, FL 33010
Phone (305) 835-1578

5607 NW 27th Ave
Ste 1
Miami, FL 33142
Phone (305) 805-1700

5607 NW 27th Ave
Ste 2
Miami, FL 33142
Phone (305) 636-3336

5361 NW 22nd Ave
Miami, FL 33142
Phone (305) 835-1586

20612 NW 27th Ave
Ste 304
Miami Gardens, FL 33056

Organizations & group practices 5

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": "1165881600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1733875200000",
    "number": "1720149180",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5607 NW 27TH AVE STE 1",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331422826",
            "telephone_number": "305-805-1700",
            "fax_number": "305-805-1715"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5607 NW 27TH AVE STE 2",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331422826",
            "telephone_number": "305-637-6400",
            "fax_number": "305-636-5155"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GEORGE",
        "first_name": "DEBORAH",
        "middle_name": "V",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-12",
        "last_updated": "2024-12-11",
        "certification_date": "2024-12-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "FL",
            "license": "DN12903",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "011056900",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

Verify at the official NPI Registry.