Individual provider Active NPI

Ana Laura Fernandez, DMD

  • Dentist
  • Hialeah, FL
National Provider Identifier
1740851468
Registry record updated Jul 3, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
DN26173 Issued in FL
Practice address
3762 W 12TH Ave
Hialeah, FL 33012-4126
Phone
(305) 557-6661
NPI assigned
Jul 3, 2021
Last updated
Jul 3, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 3, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X DN26173 FL Primary

Addresses

Primary practice location

3762 W 12TH Ave
Hialeah, FL 33012-4126

Mailing address

6980 NW 186TH St Apt 226
Hialeah, FL 33015-3153
Phone (786) 260-4870

Other practice location 1

6980 NW 186th St Apt 226
Hialeah, FL 33015-3153
Phone (786) 260-4870

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
I20210915001618 FL Practitioner - Dentist 4688070758 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Excellence in Dental Care Inc Dentist CurrentSince Jul 7, 2021 Accepting new patients

Locations

3706 W 12th Ave
Hialeah, FL 33012
Phone (305) 557-6661

3762 W 12th Ave
Hialeah, FL 33012
Phone (305) 557-6661

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, 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": "1625270400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1625270400000",
    "number": "1740851468",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6980 NW 186TH ST APT 226",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330153153",
            "telephone_number": "786-260-4870"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3762 W 12TH AVE",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330124126",
            "telephone_number": "305-557-6661"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6980 NW 186th St Apt 226",
            "address_purpose": "LOCATION",
            "city": "Hialeah",
            "state": "FL",
            "postal_code": "330153153",
            "country_code": "US",
            "telephone_number": "786-260-4870",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FERNANDEZ",
        "first_name": "ANA",
        "middle_name": "LAURA",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-07-03",
        "last_updated": "2021-07-03",
        "certification_date": "2021-07-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "FL",
            "license": "DN26173",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hialeah, FL

Sources for this page

Verify at the official NPI Registry.