Active NPI
Maidelys Oliva, DMD
- Pediatric Dentistry
- Miami Lakes, FL
National Provider Identifier
1730597253
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Dentistry
- License
- DN20836
- Practice address
- 7920 Miami Lakes Drive West
Suite 120
Miami Lakes, FL 33016 - Phone
- (305) 424-7588
- NPI assigned
- Jul 28, 2014
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Pediatric Dentistry | 1223P0221X | DN20836 | FL | Primary |
Addresses
Primary practice location
7920 Miami Lakes Drive West
Suite 120
Miami Lakes, FL 33016
Mailing address
7920 Miami Lakes Drive West
Suite 120
Miami Lakes, FL 33016
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20151112001792 | FL | Order and Referring Only - Dentist | 5395055842 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Maidelys Oliva DMD PA | Pediatric Dentistry | Current | Accepting new patients |
| Dentaland PA | Past | Accepting new patients |
Locations
7920 Miami Lakes Dr W
Ste 120
Miami Lakes, FL 33016
Phone (305) 424-7588
Organizations & group practices 2
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.
-
dba Olive Tree Pediatric Dentistry
- Pediatric Dentistry
- Miami Lakes, FL
- NPI 1346928363
-
- Dentist
- Coral Springs, FL
- NPI 1932378452
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1406505600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1692057600000",
"number": "1730597253",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7920 MIAMI LAKES DRIVE WEST",
"address_2": "SUITE 120",
"city": "MIAMI LAKES",
"state": "FL",
"postal_code": "33016"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7920 MIAMI LAKES DRIVE WEST",
"address_2": "SUITE 120",
"city": "MIAMI LAKES",
"state": "FL",
"postal_code": "33016",
"telephone_number": "305-424-7588"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OLIVA",
"first_name": "MAIDELYS",
"name_prefix": "Dr.",
"credential": "DMD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-07-28",
"last_updated": "2023-08-15",
"certification_date": "2023-08-11",
"status": "A"
},
"taxonomies": [
{
"code": "1223P0221X",
"taxonomy_group": "",
"desc": "Dentist, Pediatric Dentistry",
"state": "FL",
"license": "DN20836",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Miami Lakes, FL
- Ojeda Equipment Inc
- Giselle Ojeda, DPM
- Gabriel Olazarra Rodriguez, CBHCM
- Carlos Joaquin Oliu, MD
- Arianna Oliva Leyva, RBT
- Omi CT of Miami Lakes Inc
- Omi of Miami Lakes Inc
- Oncology Specialty Pharmacy, LLC (Baptist Health Specialty Pharmacy)
- Oncology Specialty Pharmacy, LLC
- One Plus One Florida, Inc. (Cairo Home Care-Dade)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.