Active NPI
Kamyar Alizadegan, DMD
- Dentist
- North Miami Beach, FL
National Provider Identifier
1720725971
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 27034
- Practice address
- 880 N Miami Beach Blvd
North Miami Beach, FL 33162-3701 - Phone
- (305) 907-2186
- NPI assigned
- May 18, 2022
- 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 | 27034 | FL | Primary |
Addresses
Primary practice location
880 N Miami Beach Blvd
North Miami Beach, FL 33162-3701
Mailing address
31 SE 5TH St Apt 2511
Miami, FL 33131-2518
Phone (561) 410-3874
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 |
|---|---|---|---|
| 27034 | FL | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dental Heart LLC | Current | Accepting new patients |
Locations
880 N Miami Beach Blvd
North Miami Beach, FL 33162
Phone (305) 907-2186
Networks
- Freedom Health HMO Network
Organizations & group practices 1
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.
-
- General Practice Dentistry
- Miami Beach, FL
- NPI 1992479810
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1652832000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1654905600000",
"number": "1720725971",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "31 SE 5TH ST APT 2511",
"city": "MIAMI",
"state": "FL",
"postal_code": "331312518",
"telephone_number": "561-410-3874"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "880 N MIAMI BEACH BLVD",
"city": "NORTH MIAMI BEACH",
"state": "FL",
"postal_code": "331623701",
"telephone_number": "305-907-2186"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ALIZADEGAN",
"first_name": "KAMYAR",
"name_prefix": "Dr.",
"credential": "DMD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2022-05-18",
"last_updated": "2022-06-11",
"certification_date": "2022-06-11",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "FL",
"license": "27034",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in North Miami Beach, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.