Individual provider Active NPI

Oriana M Pacheco, DMD

  • General Practice Dentistry
  • Miami, FL
National Provider Identifier
1750906244
Registry record updated Jun 10, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DN24933 Issued in FL
Practice address
9835 SW 40TH St
Miami, FL 33165-3993
Phone
(786) 578-0756
NPI assigned
Jun 10, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 10, 2020

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 DN24933 FL Primary

Addresses

Primary practice location

9835 SW 40TH St
Miami, FL 33165-3993

Mailing address

253 NE 2ND St Apt 2406
Miami, FL 33132-2295
Phone (954) 604-1379

Other practice location 1

5740 Hollywood Blvd Ste 400
Hollywood, FL 33021-6363
Phone (954) 544-2814

Other practice location 2

786 S Homestead Blvd
Homestead, FL 33030-7352
Phone (305) 242-5777

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
DN24933FLMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Amazing Dental L.L.C. Past Accepting new patients

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1591747200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1591747200000",
    "number": "1750906244",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "253 NE 2ND ST APT 2406",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331322295",
            "telephone_number": "954-604-1379"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9835 SW 40TH ST",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331653993",
            "telephone_number": "786-578-0756"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5740 Hollywood Blvd Ste 400",
            "address_purpose": "LOCATION",
            "city": "Hollywood",
            "state": "FL",
            "postal_code": "330216363",
            "country_code": "US",
            "telephone_number": "954-544-2814",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "786 S Homestead Blvd",
            "address_purpose": "LOCATION",
            "city": "Homestead",
            "state": "FL",
            "postal_code": "330307352",
            "country_code": "US",
            "telephone_number": "305-242-5777",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PACHECO",
        "first_name": "ORIANA",
        "middle_name": "M",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-06-10",
        "last_updated": "2020-06-10",
        "certification_date": "2020-06-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "FL",
            "license": "DN24933",
            "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 Jun 10, 2020; 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.