Individual provider Active NPI

Danielle Fernandez, D.M.D.

  • Pediatric Dentistry
  • Miami, FL
National Provider Identifier
1851707079
Registry record updated Mar 23, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
License
DN22481 Issued in FL
Practice address
6601 SW 80TH St Ste 212
Miami, FL 33143-4661
Phone
(305) 666-2068
NPI assigned
Jul 8, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 23, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Dentistry 1223P0221X DN22481 FL Primary

Addresses

Primary practice location

6601 SW 80TH St Ste 212
Miami, FL 33143-4661

Mailing address

6601 SW 80TH St Ste 212
Miami, FL 33143-4661
Phone (305) 666-2068

Other practice location 1

6935 Land O Lakes Blvd
Land O Lakes, FL 34638-3231
Phone (813) 530-3300

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
DN22481FLMDPediatric Dentist

Practice roles

OrganizationSpecialtyStatusNew patients
Francisco H Bezerra DDS PA Pediatric Dentistry PastSince Jun 22, 2021 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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1404777600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1584921600000",
    "number": "1851707079",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6601 SW 80TH ST STE 212",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331434661",
            "telephone_number": "305-666-2068"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6601 SW 80TH ST STE 212",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331434661",
            "telephone_number": "305-666-2068"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6935 Land O Lakes Blvd",
            "address_purpose": "LOCATION",
            "city": "Land O Lakes",
            "state": "FL",
            "postal_code": "346383231",
            "country_code": "US",
            "telephone_number": "813-530-3300",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FERNANDEZ",
        "first_name": "DANIELLE",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-07-08",
        "last_updated": "2020-03-23",
        "certification_date": "2020-03-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "FL",
            "license": "DN22481",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 2020; 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.