Organization Active NPI

Doral Family Dental PL

  • Dental Clinic/Center
  • Doral, FL
National Provider Identifier
1750705828
Registry record updated Feb 10, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
License
DN19442 Issued in FL
Legal business name
DORAL FAMILY DENTAL PL
Practice address
7800 NW 25TH St
Suite 11
Doral, FL 33122-1625
Phone
(305) 960-7734
NPI assigned
Feb 10, 2014
Last updated
Feb 10, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 10, 2014

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

Authorized official

Name
Jeanette Novara, DMD
Title
Director
Phone
(305) 960-7734

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X DN19442 FL Primary

Addresses

Primary practice location

7800 NW 25TH St
Suite 11
Doral, FL 33122-1625

Mailing address

7800 NW 25TH St
Suite 11
Doral, FL 33122-1625
Phone (305) 960-7734

National Provider Directory

National Provider Directory

Locations

7800 NW 25th St
Ste 11
Doral, FL 33122
Phone (305) 960-7734

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1391990400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1391990400000",
    "number": "1750705828",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7800 NW 25TH ST",
            "address_2": "SUITE 11",
            "city": "DORAL",
            "state": "FL",
            "postal_code": "331221625",
            "telephone_number": "305-960-7734"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7800 NW 25TH ST",
            "address_2": "SUITE 11",
            "city": "DORAL",
            "state": "FL",
            "postal_code": "331221625",
            "telephone_number": "305-960-7734"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DORAL FAMILY DENTAL PL",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-02-10",
        "last_updated": "2014-02-10",
        "status": "A",
        "authorized_official_last_name": "NOVARA",
        "authorized_official_first_name": "JEANETTE",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "305-960-7734",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "FL",
            "license": "DN19442",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Doral, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2014; 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.