West Kendall Pediatric Dentistry and Orthodontics

Primary specialty

DentistTaxonomy code 122300000X

Legal business name

WEST KENDALL PEDIATRIC DENTISTRY AND ORTHODONTICS

Practice address

13757 SW 152ND St
Miami, FL 33177-8125

Phone

(305) 251-5390

NPI assigned

Sep 6, 2023

Organization subpart

No

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

Authorized official

Name

Juan Garrastazu, DMDNPI 1043382138

Title

Owner

Phone

(305) 513-4058

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Juan Luis Garrastazu, D.M.D.

  • Dentist
  • Doral, FL
  • NPI 1043382138
  NPD Authorized official

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

{
    "created_epoch": "1693958400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1693958400000",
    "number": "1861278673",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10717 NW 58TH ST",
            "city": "DORAL",
            "state": "FL",
            "postal_code": "331782801",
            "telephone_number": "305-513-4058"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13757 SW 152ND ST",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331778125",
            "telephone_number": "305-251-5390"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WEST KENDALL PEDIATRIC DENTISTRY AND ORTHODONTICS",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-09-06",
        "last_updated": "2023-09-06",
        "certification_date": "2023-09-06",
        "status": "A",
        "authorized_official_last_name": "GARRASTAZU",
        "authorized_official_first_name": "JUAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "305-513-4058",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• West Kendall Community Center
• West Kendall Dental Associates Inc.
• West Kendall Medical LLC
• West Kendall Mental Health Network Corp
• West Kendall Pain - Rehab Medical Center Inc
• West Kendall Phcy and Discount
• West Kendall Physical Therapy & Hand Rehabilitation Center LLC
• West Kendall Rehab Center Inc
• West Kendall Rehabilitation Center, Inc
• West Kendall Surgical Inc

• Dentist in Miami, FL
• Providers in Miami, FL by specialty
• Dentist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2023; 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.