Individual provider Active NPI

Yudisbel Molina Ariza

  • General Practice Dentistry
  • Davie, FL
National Provider Identifier
1760865067
Registry record updated May 16, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DN 21386 Issued in FL
Practice address
1508 Whitehall Dr Apt 303
Davie, FL 33324-6617
Phone
(305) 302-7539
NPI assigned
Jul 4, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 16, 2016

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 DN 21386 FL Primary

Addresses

Primary practice location

1508 Whitehall Dr Apt 303
Davie, FL 33324-6617

Mailing address

14941 SW 8TH Ter
Miami, FL 33194-2759
Phone (305) 302-7539

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160620002368 FL Order and Referring Only - DentistPractitioner - Dentist 2062703127

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1435968000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1463356800000",
    "number": "1760865067",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14941 SW 8TH TER",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331942759",
            "telephone_number": "305-302-7539"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1508 WHITEHALL DR APT 303",
            "city": "DAVIE",
            "state": "FL",
            "postal_code": "333246617",
            "telephone_number": "305-302-7539"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOLINA ARIZA",
        "first_name": "YUDISBEL",
        "name_prefix": "Dr.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-07-04",
        "last_updated": "2016-05-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "FL",
            "license": "DN 21386",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Davie, FL

Sources for this page

Verify at the official NPI Registry.