Organization Active NPI

Dr. Perry Shievitz LLC

  • Dentist
  • Miami, FL
National Provider Identifier
1861556243
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
DN 15868 Issued in FL
Legal business name
DR. PERRY SHIEVITZ LLC
Practice address
7924 SW 104TH St
Miami, FL 33156-3632
Phone
(305) 274-4112
Fax
(305) 274-5566
NPI assigned
Dec 20, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Perry Shievitz, D.D.S.NPI 1952427288
Title
Managing Member
Phone
(305) 274-4112

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X DN 15868 FL Primary

Addresses

Primary practice location

7924 SW 104TH St
Miami, FL 33156-3632

Mailing address

7924 SW 104TH St
Miami, FL 33156-3632
Phone (305) 274-4112

National Provider Directory

National Provider Directory

Locations

7924 SW 104th St
Miami, FL 33156
Phone (305) 274-4112

Practitioners & affiliated clinicians

Practitioners 2

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": "1166572800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1861556243",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7924 SW 104TH ST",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331563632",
            "telephone_number": "305-274-4112",
            "fax_number": "305-274-5566"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7924 SW 104TH ST",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331563632",
            "telephone_number": "305-274-4112",
            "fax_number": "305-274-5566"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR. PERRY SHIEVITZ LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-20",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SHIEVITZ",
        "authorized_official_first_name": "PERRY",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "305-274-4112",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "FL",
            "license": "DN 15868",
            "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 Aug 22, 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.