Active NPI
Diana Martha Alberich, DMD
- Dentist
- Opa Locka, FL
National Provider Identifier
1821772641
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- DN28449
- Practice address
- 482 Fisherman St
Opa Locka, FL 33054-3818 - Phone
- (305) 687-6880
- NPI assigned
- Jun 12, 2023
- Last updated
- Aug 10, 2023
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20240509000510 | FL | Order and Referring Only - Dentist | 0547601411 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DN28449 | FL | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Shiny Smile Dental Care | Dentist | Past | 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.
-
- Dentist
- Opa Locka, FL
- NPI 1053557363
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.