Dade County Street Response

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

Legal business name

DADE COUNTY STREET RESPONSE

Practice address

4300 NW 12TH Ave
Miami, FL 33127-2540

Phone

(610) 715-9989

NPI assigned

Jun 1, 2023

Organization subpart

No

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

Authorized official

Name

Armen Henderson, M.DNPI 1902224132

Title

President

Phone

(610) 715-9989

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Armen Henderson, M.D

  • Internal Medicine Physician
  • Miami, FL
  • NPI 1902224132
  Medicare reassignment Authorized official

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

{
    "created_epoch": "1685577600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1691107200000",
    "number": "1811680127",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4300 NW 12TH AVE",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331272540",
            "telephone_number": "610-715-9989"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4300 NW 12TH AVE",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331272540",
            "telephone_number": "610-715-9989"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DADE COUNTY STREET RESPONSE",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-06-01",
        "last_updated": "2023-08-04",
        "certification_date": "2023-08-04",
        "status": "A",
        "authorized_official_last_name": "HENDERSON",
        "authorized_official_first_name": "ARMEN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "610-715-9989",
        "authorized_official_credential": "M.D"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dade County Adult Living Facility Group.Corp
• Dade County Dental Research Center (Community Smiles)
• Dade County Dental Research Clinic
• Dade County Medical Services, Inc
• Dade County Nurses Incorporated
• Dade County Supply, Inc.
• Dade Family & Specialty Care
• Dade Family Counseling
• Dade Family Counseling Community Mental Health Center, Inc
• Dade Family Counseling Community Mental Health Center, Inc

• General Practice Physician in Miami, FL
• Providers in Miami, FL by specialty
• General Practice Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.