Active NPI
University of Miami
- Pediatric Dentistry
- Miami, FL
National Provider Identifier
1790736148
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Dentistry
- Legal business name
- UNIVERSITY OF MIAMI
- Practice address
- 1601 NW 12TH Ave
Box 016960 M851
Miami, FL 33136-1005 - Phone
- (305) 243-7688
- Fax
- (305) 243-8470
- NPI assigned
- May 12, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Julie Rowell
- Title
- Ex Director, Managed Care/Business
- Phone
- (305) 243-6837
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Dentistry | 1223P0221X | Primary |
Addresses
Primary practice location
1601 NW 12TH Ave
Box 016960 M851
Miami, FL 33136-1005
Mailing address
1601 NW 12TH Ave
Box 016960 M851
Miami, FL 33136-1005
Phone (305) 243-7688
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0730734-00 | Medicaid | FL |
Other names 1
- CHCP-UMED-Pediatrics
National Provider Directory
National Provider Directory- Tax ID family
- Umiami Medicine - Pedi Early Step Program
Other organizations with this tax ID 18
Organizations that report the same tax identification number in the National Provider Directory.
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-
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-
- Pediatric Allergy/Immunology Physician
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- NPI 1427609080
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- Hearing and Speech Clinic/Center
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- Developmental Disabilities Clinic/Center
- Miami, FL
- NPI 1538372693
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147392000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1320883200000",
"number": "1790736148",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1601 NW 12TH AVE",
"address_2": "BOX 016960 M851",
"city": "MIAMI",
"state": "FL",
"postal_code": "331361005",
"telephone_number": "305-243-7688",
"fax_number": "305-243-8470"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1601 NW 12TH AVE",
"address_2": "BOX 016960 M851",
"city": "MIAMI",
"state": "FL",
"postal_code": "331361005",
"telephone_number": "305-243-7688",
"fax_number": "305-243-8470"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "UNIVERSITY OF MIAMI",
"organizational_subpart": "NO",
"enumeration_date": "2006-05-12",
"last_updated": "2011-11-10",
"status": "A",
"authorized_official_last_name": "ROWELL",
"authorized_official_first_name": "JULIE",
"authorized_official_title_or_position": "EX DIRECTOR, MANAGED CARE/BUSINESS",
"authorized_official_telephone_number": "305-243-6837"
},
"taxonomies": [
{
"code": "1223P0221X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Dentist, Pediatric Dentistry",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0730734-00",
"state": "FL"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "CHCP-UMED-Pediatrics",
"code": "3",
"type": "Doing Business As"
}
]
}
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 Nov 10, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.