First Choice Dental Implant Centers LLC

Primary specialty

DentistTaxonomy code 122300000X

Legal business name

FIRST CHOICE DENTAL IMPLANT CENTERS LLC

Doing business as

MEDSQUARE DENTAL

Practice address

9101 SW 24TH St Ste 102
Miami, FL 33165-2083

Phone

(305) 850-6687

Fax

(786) 677-8963

NPI assigned

Jul 24, 2023

Organization subpart

No

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

Authorized official

Name

Dr. Nicholas Andres Castellanos, DDSNPI 1497228621

Title

President

Phone

(305) 586-5852

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• MEDSQUARE DENTAL Doing business as

Locations

Practitioners 1

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

• Nicholas Andres Castellanos

  • General Practice Dentistry
  • Miami, FL
  • NPI 1497228621
  NPD Authorized official

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

{
    "created_epoch": "1690156800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1690156800000",
    "number": "1770263667",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9101 SW 24TH ST STE 102",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331652083",
            "telephone_number": "305-850-6687"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9101 SW 24TH ST STE 102",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331652083",
            "telephone_number": "305-850-6687",
            "fax_number": "786-677-8963"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FIRST CHOICE DENTAL IMPLANT CENTERS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-07-24",
        "last_updated": "2023-07-24",
        "certification_date": "2023-07-24",
        "status": "A",
        "authorized_official_last_name": "CASTELLANOS",
        "authorized_official_first_name": "NICHOLAS",
        "authorized_official_middle_name": "ANDRES",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "305-586-5852",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL LICENSE",
            "identifier": "DN23886",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MEDSQUARE DENTAL",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Dentist in Miami, FL
• Providers in Miami, FL by specialty
• Dentist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2023; 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.