Individual provider Active NPI

Mauricio Ribeiro Costa, DDS

  • General Practice Dentistry
  • Miami, FL
National Provider Identifier
1740509678
Registry record updated May 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DN20062 Issued in FL
Practice address
1400 NW 12TH Ave Ste 2005
Miami, FL 33136-1003
Phone
(305) 689-1125
NPI assigned
May 17, 2010
Last updated
May 13, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X DN20062 FL Primary

Addresses

Primary practice location

1400 NW 12TH Ave Ste 2005
Miami, FL 33136-1003

Mailing address

2901 NE 1St Ave Apt 516
Miami, FL 33137-5319

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20151110002839 FL Practitioner - DentistPractitioner - Oral Surgery 5799004537 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
University of Miami Current Accepting new patients
University of Miami CurrentSince Feb 19, 2022 Accepting new patients

Locations

1400 NW 12th Ave
Lbby
Miami, FL 33136
Phone (305) 243-6605

1400 NW 12th Ave
Ste 2005
Miami, FL 33136
Phone (305) 689-1127

1611 NW 12th Ave
Miami, FL 33136
Phone (305) 585-6226

9380 SW 150th St
Ste 190
Palmetto Bay, FL 33176
Phone (305) 326-6590

Interoperability endpoints

  • Direct secure messaging: mcosta40780@direct.med.miami.edu

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1274054400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1778630400000",
    "number": "1740509678",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2901 NE 1ST AVE APT 516",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331375319"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1400 NW 12TH AVE STE 2005",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331361003",
            "telephone_number": "305-689-1125"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COSTA",
        "first_name": "MAURICIO",
        "middle_name": "RIBEIRO",
        "name_prefix": "Mr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-05-17",
        "last_updated": "2026-05-13",
        "certification_date": "2026-05-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "FL",
            "license": "DN20062",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

Verify at the official NPI Registry.