Organization Active NPI

Hialeah Dental Specialty Group

  • Oral and Maxillofacial Pathology Dentistry
  • Hialeah, FL
National Provider Identifier
1851206205
Registry record updated Aug 19, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral and Maxillofacial Pathology DentistryTaxonomy code 1223P0106X
Legal business name
HIALEAH DENTAL SPECIALTY GROUP
Practice address
900 W 49TH St Ste 400
Hialeah, FL 33012-3407
Phone
(305) 558-1211
Fax
(305) 557-6360
NPI assigned
Aug 18, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 19, 2026

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

Authorized official

Name
Juan Carlos Lazo, DDS
Title
Owner
Phone
(305) 558-1211

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Oral and Maxillofacial Pathology DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223P0106X Primary
PeriodonticsGroup: 193200000X MULTI-SPECIALTY GROUP 1223P0300X

Addresses

Primary practice location

900 W 49TH St Ste 400
Hialeah, FL 33012-3407

Mailing address

900 W 49TH St Ste 400
Hialeah, FL 33012-3407

National Provider Directory

National Provider Directory

Locations

900 W 49th St
Ste 400
Hialeah, FL 33012
Phone (305) 558-1211

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": "1787011200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1787097600000",
    "number": "1851206205",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "900 W 49TH ST STE 400",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330123407",
            "fax_number": "305-557-6360"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "900 W 49TH ST STE 400",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330123407",
            "telephone_number": "305-558-1211",
            "fax_number": "305-557-6360"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HIALEAH DENTAL SPECIALTY GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-08-18",
        "last_updated": "2026-08-19",
        "certification_date": "2026-08-19",
        "status": "A",
        "authorized_official_last_name": "LAZO",
        "authorized_official_first_name": "JUAN CARLOS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "305-558-1211",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223P0106X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Oral and Maxillofacial Pathology",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "1223P0300X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Periodontics",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hialeah, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2026; 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.