Individual provider Active NPI

Evan Geoffrey Rubensteen, DMD, MS

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Miami Beach, FL
National Provider Identifier
1780999003
Registry record updated Mar 29, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
License
DN19109 Issued in FL
Practice address
939 Arthur Godfrey Rd
Miami Beach, FL 33140-3306
Phone
(305) 672-2260
NPI assigned
Aug 11, 2010
Last updated
Mar 29, 2024By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 29, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X DN19109 FL
Orthodontics and Dentofacial Orthopedics Dentistry 1223X0400X DN19109 FL Primary

Addresses

Primary practice location

939 Arthur Godfrey Rd
Miami Beach, FL 33140-3306

Mailing address

925 Arthur Godfrey Rd
Suite 300
Miami Beach, FL 33140-3325
Phone (305) 672-2260

Other identifiers 1

IdentifierTypeStateIssuer
016369100MedicaidFL

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
Master of Science

State licenses

LicenseStateTypeSpecialty
DN19109FLMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Evan Rubensteen DMD PA Orthodontics and Dentofacial Orthopedics CurrentSince Mar 31, 2024 Accepting new patients

Locations

939 Arthur Godfrey Rd
Miami Beach, FL 33140
Phone (305) 534-2002

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1281484800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1711670400000",
    "number": "1780999003",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "925 ARTHUR GODFREY RD",
            "address_2": "SUITE 300",
            "city": "MIAMI BEACH",
            "state": "FL",
            "postal_code": "331403325",
            "telephone_number": "305-672-2260"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "939 ARTHUR GODFREY RD",
            "city": "MIAMI BEACH",
            "state": "FL",
            "postal_code": "331403306",
            "telephone_number": "305-672-2260"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUBENSTEEN",
        "first_name": "EVAN",
        "middle_name": "GEOFFREY",
        "name_prefix": "Dr.",
        "credential": "DMD, MS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-08-11",
        "last_updated": "2024-03-29",
        "certification_date": "2024-03-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "FL",
            "license": "DN19109",
            "primary": false
        },
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "FL",
            "license": "DN19109",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "016369100",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 2024; 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.