Organization Active NPI

Superior Dental Care Inc

  • Dentist
  • Hialeah, FL
National Provider Identifier
1801302237
Registry record updated Dec 21, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
DN17142 Issued in FL
Legal business name
SUPERIOR DENTAL CARE INC
Practice address
1140 W 50TH St Ste 310
Hialeah, FL 33012-3411
Phone
(786) 464-9844
NPI assigned
Dec 21, 2017
Last updated
Dec 21, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 21, 2017

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

Authorized official

Name
Danilo Perez
Title
Manager
Phone
(786) 464-9844

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193200000X MULTI-SPECIALTY GROUP 122300000X DN17142 FL Primary

Addresses

Primary practice location

1140 W 50TH St Ste 310
Hialeah, FL 33012-3411

Mailing address

1140 W 50TH St Ste 310
Hialeah, FL 33012-3411
Phone (786) 464-9844

Other identifiers 1

IdentifierTypeStateIssuer
DN17142OtherFLFLORIDA DENTAL LIC

National Provider Directory

National Provider Directory

Locations

1140 W 50th St
Ste 310
Hialeah, FL 33012
Phone (305) 558-4020

NPI Registry JSON

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

{
    "created_epoch": "1513814400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1513814400000",
    "number": "1801302237",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1140 W 50TH ST STE 310",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330123411",
            "telephone_number": "786-464-9844"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1140 W 50TH ST STE 310",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330123411",
            "telephone_number": "786-464-9844"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUPERIOR DENTAL CARE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-12-21",
        "last_updated": "2017-12-21",
        "status": "A",
        "authorized_official_last_name": "PEREZ",
        "authorized_official_first_name": "DANILO",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "786-464-9844"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "FL",
            "license": "DN17142",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FLORIDA DENTAL LIC",
            "identifier": "DN17142",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hialeah, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 21, 2017; 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.