Individual provider Active NPI

Vivian Sara Morad, D.M.D.

  • Periodontics
  • Miami, FL
National Provider Identifier
1851730477
Registry record updated Nov 2, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
PeriodonticsTaxonomy code 1223P0300X
License
12367 Issued in FL
Practice address
8950 SW 74TH CT Ste 1910
Miami, FL 33156-3178
Phone
(305) 670-3900
Fax
(305) 675-3267
NPI assigned
Jun 17, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 2, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Periodontics 1223P0300X 12367 FL Primary

Addresses

Primary practice location

8950 SW 74TH CT Ste 1910
Miami, FL 33156-3178

Mailing address

8950 SW 74TH CT Ste 1910
Miami, FL 33156-3178
Phone (305) 670-3900

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
I20150709001109 FL Order and Referring Only - Other (Physician)Practitioner - Other (Physician) 9335451038

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
12367FLMDMental Health Counselor

NPI Registry JSON

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

{
    "created_epoch": "1371427200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1541116800000",
    "number": "1851730477",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8950 SW 74TH CT STE 1910",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331563178",
            "telephone_number": "305-670-3900",
            "fax_number": "305-675-3267"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8950 SW 74TH CT STE 1910",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331563178",
            "telephone_number": "305-670-3900",
            "fax_number": "305-675-3267"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MORAD",
        "first_name": "VIVIAN",
        "middle_name": "SARA",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-06-17",
        "last_updated": "2018-11-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0300X",
            "taxonomy_group": "",
            "desc": "Dentist, Periodontics",
            "state": "FL",
            "license": "12367",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

Verify at the official NPI Registry.