Organization Active NPI

Coral Gables Vista Dentistry PA

  • General Practice Dentistry
  • Miami, FL
National Provider Identifier
1730963398
Registry record updated Aug 23, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
CORAL GABLES VISTA DENTISTRY PA
Practice address
7171 Coral Way Ste 217
Miami, FL 33155-1691
Phone
(305) 305-5830
NPI assigned
Aug 23, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 23, 2023

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

Authorized official

Name
Dr. Vanessa De la Barca Dominguez, DDSNPI 1972237386
Title
Dentist
Phone
(305) 305-5830

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

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

Addresses

Primary practice location

7171 Coral Way Ste 217
Miami, FL 33155-1691

Mailing address

6891 SW 51St St
Miami, FL 33155-5707
Phone (305) 305-5830

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1692748800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1692748800000",
    "number": "1730963398",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6891 SW 51ST ST",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331555707",
            "telephone_number": "305-305-5830"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7171 CORAL WAY STE 217",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331551691",
            "telephone_number": "305-305-5830"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CORAL GABLES VISTA DENTISTRY PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-08-23",
        "last_updated": "2023-08-23",
        "certification_date": "2023-08-23",
        "status": "A",
        "authorized_official_last_name": "DE LA BARCA DOMINGUEZ",
        "authorized_official_first_name": "VANESSA",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "305-305-5830",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Aug 23, 2023; 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.