Organization Active NPI

Westchester Dental Services Group Inc

  • General Practice Dentistry
  • Miami, FL
National Provider Identifier
1730523408
Registry record updated Apr 24, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DN17868 Issued in FL
Legal business name
WESTCHESTER DENTAL SERVICES GROUP INC
Practice address
7801 SW 24TH St
Suite 122
Miami, FL 33155-6538
Phone
(786) 360-3694
Fax
(786) 431-1522
NPI assigned
Apr 24, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 24, 2013

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

Authorized official

Name
Ana Desiree Gonzalez, D.O.
Title
President
Phone
(786) 360-3694

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X DN17868 FL Primary

Addresses

Primary practice location

7801 SW 24TH St
Suite 122
Miami, FL 33155-6538

Mailing address

7801 SW 24TH St
Suite 122
Miami, FL 33155-6538
Phone (786) 360-3694

Other identifiers 1

IdentifierTypeStateIssuer
DN17868OtherFLSTATE LICENSE

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1366761600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1366761600000",
    "number": "1730523408",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7801 SW 24TH ST",
            "address_2": "SUITE 122",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331556538",
            "telephone_number": "786-360-3694",
            "fax_number": "786-431-1522"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7801 SW 24TH ST",
            "address_2": "SUITE 122",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331556538",
            "telephone_number": "786-360-3694",
            "fax_number": "786-431-1522"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WESTCHESTER DENTAL SERVICES GROUP INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-04-24",
        "last_updated": "2013-04-24",
        "status": "A",
        "authorized_official_last_name": "GONZALEZ",
        "authorized_official_first_name": "ANA",
        "authorized_official_middle_name": "DESIREE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "786-360-3694",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "FL",
            "license": "DN17868",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "DN17868",
            "state": "FL"
        }
    ],
    "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 Apr 24, 2013; 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.