Organization Active NPI

Gandara Dental

  • Dental Clinic/Center
  • Miami, FL
National Provider Identifier
1760155576
Registry record updated Jul 28, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
GANDARA DENTAL
Practice address
13728 SW 84TH St
Miami, FL 33183-4000
Phone
(305) 456-7383
Fax
(305) 676-9028
NPI assigned
Jul 28, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 28, 2021

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

Authorized official

Name
Dr. Maria T. Gandara, DDS
Title
Owner/Dentist
Phone
(857) 249-8324

Specialties & licenses 1

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

Addresses

Primary practice location

13728 SW 84TH St
Miami, FL 33183-4000

Mailing address

13728 SW 84TH St
Miami, FL 33183-4000
Phone (305) 456-7383

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1627430400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1627430400000",
    "number": "1760155576",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13728 SW 84TH ST",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331834000",
            "telephone_number": "305-456-7383"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13728 SW 84TH ST",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331834000",
            "telephone_number": "305-456-7383",
            "fax_number": "305-676-9028"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GANDARA DENTAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-07-28",
        "last_updated": "2021-07-28",
        "certification_date": "2021-07-28",
        "status": "A",
        "authorized_official_last_name": "GANDARA",
        "authorized_official_first_name": "MARIA",
        "authorized_official_middle_name": "T.",
        "authorized_official_title_or_position": "OWNER/DENTIST",
        "authorized_official_telephone_number": "857-249-8324",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "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 Jul 28, 2021; 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.