Individual provider Active NPI

Diana Martha Alberich, DMD

  • Dentist
  • Opa Locka, FL
National Provider Identifier
1821772641
Registry record updated Aug 10, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
DN28449 Issued in FL
Practice address
482 Fisherman St
Opa Locka, FL 33054-3818
Phone
(305) 687-6880
NPI assigned
Jun 12, 2023
Last updated
Aug 10, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 10, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X DN28449 FL Primary

Addresses

Primary practice location

482 Fisherman St
Opa Locka, FL 33054-3818

Mailing address

482 Fisherman St
Opa Locka, FL 33054-3818
Phone (305) 687-6880

Other practice location 1

12515 SW 88th St
Miami, FL 33186-1829
Phone (305) 642-5366

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240509000510 FL Order and Referring Only - DentistPractitioner - Dentist 0547601411

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DN28449FLMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Shiny Smile Dental Care Dentist PastSince Jun 18, 2023 Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1686528000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1691625600000",
    "number": "1821772641",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "482 FISHERMAN ST",
            "city": "OPA LOCKA",
            "state": "FL",
            "postal_code": "330543818",
            "telephone_number": "305-687-6880"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "482 FISHERMAN ST",
            "city": "OPA LOCKA",
            "state": "FL",
            "postal_code": "330543818",
            "telephone_number": "305-687-6880"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "12515 SW 88th St",
            "address_purpose": "LOCATION",
            "city": "Miami",
            "state": "FL",
            "postal_code": "331861829",
            "country_code": "US",
            "telephone_number": "305-642-5366",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ALBERICH",
        "first_name": "DIANA",
        "middle_name": "MARTHA",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-06-12",
        "last_updated": "2023-08-10",
        "certification_date": "2023-06-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "FL",
            "license": "DN28449",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Opa Locka, FL

Sources for this page

Verify at the official NPI Registry.