Individual provider Active NPI

Daylis De Andrade, DMD

  • Dentist
  • Miami, FL
National Provider Identifier
1790215309
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
DN22685 Issued in FL
Practice address
4141 NE 2ND Ave Ste 106a
Miami, FL 33137-3500
Phone
(863) 949-9987
NPI assigned
Jun 15, 2017
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X DN22685 FL
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X DN22685 FL Primary

Addresses

Primary practice location

4141 NE 2ND Ave Ste 106a
Miami, FL 33137-3500

Mailing address

4141 NE 2ND Ave Ste 106a
Miami, FL 33137-3500

Other practice location 1

950 N Federal Hwy Suite 202
pompano beach, FL 33062
Phone (954) 532-6637

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

State licenses

LicenseStateTypeSpecialty
DN22685FLMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Biodent Clinic LLC General Practice CurrentSince Mar 27, 2022 Accepting new patients
Gisele Oliveira Corp General Practice Past Accepting new patients

Locations

4141 NE 2nd Ave
Ste 106A
Miami, FL 33137
Phone (786) 487-3702

Organizations & group practices 2

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": "1497484800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1790215309",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4141 NE 2ND AVE STE 106A",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331373500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4141 NE 2ND AVE STE 106A",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331373500",
            "telephone_number": "863-949-9987"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "950 N Federal Hwy Suite 202",
            "address_purpose": "LOCATION",
            "city": "pompano beach",
            "state": "FL",
            "postal_code": "33062",
            "country_code": "US",
            "telephone_number": "954-532-6637",
            "fax_number": "954-532-6638",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DE ANDRADE",
        "first_name": "DAYLIS",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-06-15",
        "last_updated": "2022-07-21",
        "certification_date": "2022-03-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "FL",
            "license": "DN22685",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "FL",
            "license": "DN22685",
            "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 21, 2022; 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.