Advanced Endodontic Group

Primary specialty

EndodonticsTaxonomy code 1223E0200X

Legal business name

ADVANCED ENDODONTIC GROUP

Practice address

1045 Kane Concourse Ste 204
Bay Harbor Islands, FL 33154-2119

Phone

(305) 615-6300

NPI assigned

Feb 8, 2022

Organization subpart

No

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

Authorized official

Name

Ingrid E Epelman DorraNPI 1447580469

Title

Owner/Manager

Phone

(305) 615-6300

Specialties & licenses 1

Addresses

Tax ID family

Advanced Endodontic Group2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Advanced Endodontic Group

  • Endodontics
  • Miami Lakes, FL
  • NPI 1205377488
  NPD tax ID

Locations

Practitioners 1

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

• Ingrid E Epelman Dorra, D.D.S

  • Endodontics
  • Miami Lakes, FL
  • NPI 1447580469
  NPD Authorized official

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

{
    "created_epoch": "1644278400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1644278400000",
    "number": "1740934892",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1045 KANE CONCOURSE STE 204",
            "city": "BAY HARBOR ISLANDS",
            "state": "FL",
            "postal_code": "331542119"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1045 KANE CONCOURSE STE 204",
            "city": "BAY HARBOR ISLANDS",
            "state": "FL",
            "postal_code": "331542119",
            "telephone_number": "305-615-6300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANCED ENDODONTIC GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-02-08",
        "last_updated": "2022-02-08",
        "certification_date": "2022-02-08",
        "status": "A",
        "authorized_official_last_name": "EPELMAN DORRA",
        "authorized_official_first_name": "INGRID",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "OWNER/MANAGER",
        "authorized_official_telephone_number": "305-615-6300"
    },
    "taxonomies": [
        {
            "code": "1223E0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Endodontics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• All providers in Bay Harbor Islands, FL
• Endodontics in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 2022; 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.