Active NPI
Gateway Dental
- Dentist
- Miami, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- DN15212
- Legal business name
- GATEWAY DENTAL
- Practice address
- 1050 NW 14TH St # 204
Miami, FL 33136-2105 - Phone
- (305) 856-2300
- Fax
- (305) 856-0921
- NPI assigned
- Jul 17, 2013
- Last updated
- Jul 19, 2019
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Pablo Miranda, DMD
- Title
- Owner
- Phone
- (305) 325-0050
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | DN15212 | FL | Primary |
Addresses
Primary practice location
1050 NW 14TH St # 204
Miami, FL 33136-2105
Mailing address
1050 NW 14TH St # 204
Miami, FL 33136-2105
Phone (305) 856-2300
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 101365200 | Medicaid | FL |
National Provider Directory
National Provider Directory- Tax ID family
- Gateway Dental Inc
Other organizations with this tax ID 4
Organizations that report the same tax identification number in the National Provider Directory.
-
- Dentist
- Miami Gardens, FL
- NPI 1063869774
-
- General Practice Dentistry
- Miami, FL
- NPI 1184925653
-
- General Practice Dentistry
- Hialeah, FL
- NPI 1396150199
-
- Dentist
- Miami, FL
- NPI 1760868863
Locations
1050 NW 14th St
#204
Miami, FL 33136
Phone (305) 856-2300
1399 NW 17th Ave
Ste 301
Miami, FL 33125
Phone (305) 325-0050
Practitioners & affiliated clinicians
Practitioners 2
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.
-
- Dentist
- Miami, FL
- NPI 1023036365
-
- Dentist
- Miami, FL
- NPI 1558700369
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1374019200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1563494400000",
"number": "1861834905",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1050 NW 14TH ST # 204",
"city": "MIAMI",
"state": "FL",
"postal_code": "331362105",
"telephone_number": "305-856-2300",
"fax_number": "305-856-0921"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1050 NW 14TH ST # 204",
"city": "MIAMI",
"state": "FL",
"postal_code": "331362105",
"telephone_number": "305-856-2300",
"fax_number": "305-856-0921"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "GATEWAY DENTAL",
"organizational_subpart": "NO",
"enumeration_date": "2013-07-17",
"last_updated": "2019-07-19",
"status": "A",
"authorized_official_last_name": "MIRANDA",
"authorized_official_first_name": "PABLO",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "305-325-0050",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DMD"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Dentist",
"state": "FL",
"license": "DN15212",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "101365200",
"state": "FL"
}
],
"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 Jul 19, 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.