Individual provider Active NPI

Ada L. Penate, D.D.S.,P.A.

  • General Practice Dentistry
  • Miami, FL
National Provider Identifier
1770609166
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DN0011668 Issued in FL
Practice address
14609 SW 104TH St
Miami, FL 33186-2905
Phone
(305) 388-3725
Fax
(305) 388-1745
NPI assigned
Mar 21, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 DN0011668 FL Primary

Addresses

Primary practice location

14609 SW 104TH St
Miami, FL 33186-2905

Mailing address

14609 SW 104TH St
Miami, FL 33186-2905
Phone (305) 388-3725

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
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
DN0011668FLMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Moises Cabrera D.D.S. P.a. General Practice 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": "1174435200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1770609166",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14609 SW 104TH ST",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331862905",
            "telephone_number": "305-388-3725",
            "fax_number": "305-388-1745"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14609 SW 104TH ST",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331862905",
            "telephone_number": "305-388-3725",
            "fax_number": "305-388-1745"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PENATE",
        "first_name": "ADA",
        "middle_name": "L.",
        "name_prefix": "Dr.",
        "credential": "D.D.S.,P.A.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-21",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "FL",
            "license": "DN0011668",
            "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 8, 2007; 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.