NPIMap

Organization Active NPI

My Dentist of Miami

  • Dentist
  • Miami, FL
National Provider Identifier
1811354079
Registry record updated Jan 19, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
DN20911 Issued in FL
Legal business name
MY DENTIST OF MIAMI
Practice address
15790 SW 56TH St
Miami, FL 33185-5285
Phone
(305) 290-4999
NPI assigned
Jan 19, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 19, 2016

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

Authorized official

Name
Dr. Eva M Fornos, DDSNPI 1740628452
Title
President
Phone
(305) 290-4999

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193200000X MULTI-SPECIALTY GROUP 122300000X DN20911 FL Primary

Addresses

Primary practice location

15790 SW 56TH St
Miami, FL 33185-5285

Mailing address

15790 SW 56TH St
Miami, FL 33185-5285
Phone (305) 290-4999

National Provider Directory

National Provider Directory

Locations

15790 SW 56th St
Miami, FL 33185
Phone (305) 290-4999

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1453161600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1453161600000",
    "number": "1811354079",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15790 SW 56TH ST",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331855285",
            "telephone_number": "305-290-4999"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15790 SW 56TH ST",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331855285",
            "telephone_number": "305-290-4999"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MY DENTIST OF MIAMI",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-01-19",
        "last_updated": "2016-01-19",
        "status": "A",
        "authorized_official_last_name": "FORNOS",
        "authorized_official_first_name": "EVA",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "305-290-4999",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "FL",
            "license": "DN20911",
            "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 Jan 19, 2016; 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.