Individual provider Active NPI

Shari Alane Witkoff, DMD

  • Dentist
  • Coral Gables, FL
National Provider Identifier
1720208986
Registry record updated May 11, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
FL DN 14063 Issued in FL
Practice address
475 Biltmore Way
Suite 310
Coral Gables, FL 33134-5755
Phone
(305) 444-4842
Fax
(305) 445-1519
NPI assigned
Apr 27, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 11, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X FL DN 14063 FL Primary

Addresses

Primary practice location

475 Biltmore Way
Suite 310
Coral Gables, FL 33134-5755

Mailing address

475 Biltmore Way
Suite 310
Coral Gables, FL 33134-5755
Phone (305) 444-4842

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

LicenseStateTypeSpecialty
FL DN 14063FLMDDentist

NPI Registry JSON

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

{
    "created_epoch": "1177632000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1431302400000",
    "number": "1720208986",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "475 BILTMORE WAY",
            "address_2": "SUITE 310",
            "city": "CORAL GABLES",
            "state": "FL",
            "postal_code": "331345755",
            "telephone_number": "305-444-4842",
            "fax_number": "305-445-1519"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "475 BILTMORE WAY",
            "address_2": "SUITE 310",
            "city": "CORAL GABLES",
            "state": "FL",
            "postal_code": "331345755",
            "telephone_number": "305-444-4842",
            "fax_number": "305-445-1519"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WITKOFF",
        "first_name": "SHARI",
        "middle_name": "ALANE",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-04-27",
        "last_updated": "2015-05-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "FL",
            "license": "FL DN 14063",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Coral Gables, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 2015; 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.