Ivan Terrero DDS PA

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DN17477 Issued in FL

Legal business name

IVAN TERRERO DDS PA

Practice address

15436-7 NW 77TH Court
#150 & 160
Miami Lakes, FL 33016

Phone

(305) 557-5775

NPI assigned

Jun 10, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Ivan Eduardo Terrero, DDS

Title

President

Phone

(917) 796-7624

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1213056000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213056000000",
    "number": "1760642284",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "555 WASHINGTON AVE",
            "address_2": "STE 350",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331396643",
            "telephone_number": "305-604-5707"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15436-7 NW 77TH COURT",
            "address_2": "#150 & 160",
            "city": "MIAMI LAKES",
            "state": "FL",
            "postal_code": "33016",
            "telephone_number": "305-557-5775"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IVAN TERRERO DDS PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-06-10",
        "last_updated": "2008-06-10",
        "status": "A",
        "authorized_official_last_name": "TERRERO",
        "authorized_official_first_name": "IVAN",
        "authorized_official_middle_name": "EDUARDO",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "917-796-7624",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "FL",
            "license": "DN17477",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Leonardo Irarragorri, FMD, CBHCMS
• Isabela House Inc
• Michael Richard Iser, PT, DPT
• Noemi Istueta, OTR/L
• Sandra Italiano, MA, LPC
• Ivanov Miami Lakes PLLC (Ivanov Orthodontics)
• Yosbel Izquierdo Perez
• Armando Izquierdo, NP
• Lay Izquierdo
• Rene J Izquierdo

• General Practice Dentistry in Miami Lakes, FL
• Providers in Miami Lakes, FL by specialty
• General Practice Dentistry in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2008; 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.