Stephanie Ann Mendigutia, DMD

Primary specialty

DentistTaxonomy code 122300000X

License

DN24353 Issued in FL

Practice address

1410 W 68TH St
Hialeah, FL 33014-4527

Phone

(305) 557-6968

NPI assigned

Jul 3, 2019

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Champion Smiles Pediatric Dentistry, Inc

  • Pediatric Dentistry
  • Hialeah, FL
  • NPI 1407614175
  NPD
• People First Dentistry, PLLC

  • Dental Clinic/Center
  • Miami, FL
  • NPI 1982213518
  NPD (past)

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

{
    "created_epoch": "1562112000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1624924800000",
    "number": "1801458484",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16140 E TROON CIR",
            "city": "MIAMI LAKES",
            "state": "FL",
            "postal_code": "330146557",
            "telephone_number": "305-720-1478"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1410 W 68TH ST",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330144527",
            "telephone_number": "305-557-6968"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MENDIGUTIA",
        "first_name": "STEPHANIE",
        "middle_name": "ANN",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-07-03",
        "last_updated": "2021-06-29",
        "certification_date": "2021-06-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "FL",
            "license": "D24353",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "FL",
            "license": "DN24353",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Vanessa Mendez, M.D
• Yohanka Mendez
• Yolexy Beatriz Mendez
• Jose Antonio Mendigutia, DDS
• Stacey Ann Mendigutia, DMD
• Lazaro Osmel Mendiondo Vigil
• Niurka De Las Mercedes Mendoza Castell
• Jose Carlos Mendoza Cortez
• Jose Bosco Mendoza Loor, MD
• Keila Mendoza Rodriguez

• Dentist in Hialeah, FL
• Providers in Hialeah, FL by specialty
• Dentist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 2021; 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.