Benita Janine De Mirza, DMD

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

License

DN21675 Issued in FL

Practice address

190 Professional Way
Wellington, FL 33414-6391

Phone

(561) 486-1444

Fax

(561) 486-1445

NPI assigned

May 2, 2008

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Nazli Keri DDS a Professional Corp

  • Pediatric Dentistry
  • Chula Vista, CA
  • NPI 1962800490
  NPD (past)
• Nazli Keri DDS Apc

  • Pediatric Dentistry
  • Chula Vista, CA
  • NPI 1285834796
  NPD (past)

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

{
    "created_epoch": "1209686400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1767916800000",
    "number": "1861668451",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "190 PROFESSIONAL WAY",
            "city": "WELLINGTON",
            "state": "FL",
            "postal_code": "334146391",
            "telephone_number": "561-486-1444",
            "fax_number": "561-486-1445"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "190 PROFESSIONAL WAY",
            "city": "WELLINGTON",
            "state": "FL",
            "postal_code": "334146391",
            "telephone_number": "561-486-1444",
            "fax_number": "561-486-1445"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DE MIRZA",
        "first_name": "BENITA",
        "middle_name": "JANINE",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-05-02",
        "last_updated": "2026-01-09",
        "certification_date": "2026-01-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "FL",
            "license": "DN21675",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Virginia Renee Davis, M.S., SLP
• Martavius Lee Dawkins
• Kayla De Barry
• Adelheid De la Luz Lorenzo
• Janice De la Torre Rivera, MS, SLP
• Lindsay Marie Dearce
• Deborah Goldman, O.D., P.a.
• Decost Solution Services LLC
• Laura Del Valle, RD, LD, CDE
• Lourdes M Del Valle, PT

• Pediatric Dentistry in Wellington, FL
• Providers in Wellington, FL by specialty
• Pediatric Dentistry in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2026; 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.