NPIMap

Organization Active NPI

Perkadent Corp.

  • General Practice Dentistry
  • Miami, FL
National Provider Identifier
1871948794
Registry record updated Apr 28, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DN20428 Issued in FL
Legal business name
PERKADENT CORP.
Practice address
1878 SW 57TH Ave
Miami, FL 33155-2139
Phone
(305) 262-9299
Fax
(305) 262-8772
NPI assigned
Apr 28, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 28, 2016

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

Authorized official

Name
Dr. Karim R Revoredo, DDSNPI 1366730384
Title
President
Phone
(305) 262-9299

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
General Practice DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223G0001X DN20428 FL Primary

Addresses

Primary practice location

1878 SW 57TH Ave
Miami, FL 33155-2139

Mailing address

1878 SW 57TH Ave
Miami, FL 33155-2139
Phone (305) 262-9299

National Provider Directory

National Provider Directory

Locations

1878 SW 57th Ave
Miami, FL 33155
Phone (305) 262-9299

Practitioners & affiliated clinicians

Practitioners 3

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": "1461801600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1461801600000",
    "number": "1871948794",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1878 SW 57TH AVE",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331552139",
            "telephone_number": "305-262-9299",
            "fax_number": "305-262-8772"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1878 SW 57TH AVE",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331552139",
            "telephone_number": "305-262-9299",
            "fax_number": "305-262-8772"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PERKADENT CORP.",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-04-28",
        "last_updated": "2016-04-28",
        "status": "A",
        "authorized_official_last_name": "REVOREDO",
        "authorized_official_first_name": "KARIM",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "305-262-9299",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "FL",
            "license": "DN20428",
            "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 Apr 28, 2016; 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.