NPIMap

Organization Active NPI

Shaping Smiles LLC

  • Behavior Analyst
  • Homestead, FL
National Provider Identifier
1831956713
Registry record updated Mar 6, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
Legal business name
SHAPING SMILES LLC
Practice address
10766 SW 245TH St
Homestead, FL 33032-4677
Phone
(305) 742-5840
NPI assigned
Mar 6, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 6, 2024

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

Authorized official

Name
Teresita MachadoNPI 1093253262
Title
Owner
Phone
(305) 742-5840

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
Behavior AnalystGroup: 193400000X SINGLE SPECIALTY GROUP 103K00000X Primary

Addresses

Primary practice location

10766 SW 245TH St
Homestead, FL 33032-4677

Mailing address

10766 SW 245TH St
Homestead, FL 33032-4677
Phone (305) 742-5840

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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": "1709683200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1709683200000",
    "number": "1831956713",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10766 SW 245TH ST",
            "city": "HOMESTEAD",
            "state": "FL",
            "postal_code": "330324677",
            "telephone_number": "305-742-5840"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10766 SW 245TH ST",
            "city": "HOMESTEAD",
            "state": "FL",
            "postal_code": "330324677",
            "telephone_number": "305-742-5840"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHAPING SMILES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-03-06",
        "last_updated": "2024-03-06",
        "certification_date": "2024-03-06",
        "status": "A",
        "authorized_official_last_name": "MACHADO",
        "authorized_official_first_name": "TERESITA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "305-742-5840"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Homestead, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2024; 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.