Coral Gables Dental Health Center

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

CORAL GABLES DENTAL HEALTH CENTER

Practice address

747 Ponce de Leon Blvd Ste 401
Coral Gables, FL 33134-2073

Phone

(305) 444-8591

Fax

(305) 444-6988

NPI assigned

Jun 17, 2019

Last updated

Jun 17, 2019By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Rodolfo Carballo, DDS

Title

Owner

Phone

(305) 444-8591

Specialties & licenses 4

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Elsie E Carballo

  • Behavior Technician
  • Miramar, FL
  • NPI 1871488346
  NPD

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

{
    "created_epoch": "1560729600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1560729600000",
    "number": "1861052375",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "747 PONCE DE LEON BLVD STE 401",
            "city": "CORAL GABLES",
            "state": "FL",
            "postal_code": "331342073",
            "telephone_number": "305-444-8591",
            "fax_number": "305-444-6988"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "747 PONCE DE LEON BLVD STE 401",
            "city": "CORAL GABLES",
            "state": "FL",
            "postal_code": "331342073",
            "telephone_number": "305-444-8591",
            "fax_number": "305-444-6988"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CORAL GABLES DENTAL HEALTH CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-06-17",
        "last_updated": "2019-06-17",
        "status": "A",
        "authorized_official_last_name": "CARBALLO",
        "authorized_official_first_name": "RODOLFO",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "305-444-8591",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "1223P0300X",
            "taxonomy_group": "",
            "desc": "Dentist, Periodontics",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "124Q00000X",
            "taxonomy_group": "",
            "desc": "Dental Hygienist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Coral Gables Dentistry and Prosthodontics, PA (Coral Gables Dentistry and Prosthodontics)
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• Coral Gables Foot and Ankle Specialists LLC (atlantic foot & ankle)
• Coral Gables Medical Care Inc
• Coral Gables Medical Center Inc

• General Practice Dentistry in Coral Gables, FL
• Providers in Coral Gables, FL by specialty
• General Practice Dentistry in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2019; 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.