Organization Active NPI

Aesthetic Dentistry of South Miami

  • General Practice Dentistry
  • South Miami, FL
National Provider Identifier
1871990069
Registry record updated Jan 14, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DN9599 Issued in FL
Legal business name
AESTHETIC DENTISTRY OF SOUTH MIAMI
Practice address
7600 SW 57TH Ave
Suite 116
South Miami, FL 33143-5428
Phone
(305) 667-7543
NPI assigned
Dec 3, 2014
Last updated
Jan 14, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 14, 2015

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

Authorized official

Name
Dr. Juan Carlos Erro, D.D.S
Title
President
Phone
(305) 667-7543

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223G0001X DN9599 FL Primary

Addresses

Primary practice location

7600 SW 57TH Ave
Suite 116
South Miami, FL 33143-5428

Mailing address

7600 SW 57TH Ave
Suite 116
South Miami, FL 33143-5428
Phone (305) 667-7543

Other names 1

  • Miami Lakes Dental Health Center Other name

National Provider Directory

National Provider Directory

Locations

7600 SW 57th Ave
Ste 116
South Miami, FL 33143
Phone (305) 667-2131

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1417564800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1421193600000",
    "number": "1871990069",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7600 SW 57TH AVE",
            "address_2": "SUITE 116",
            "city": "SOUTH MIAMI",
            "state": "FL",
            "postal_code": "331435428",
            "telephone_number": "305-667-7543"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7600 SW 57TH AVE",
            "address_2": "SUITE 116",
            "city": "SOUTH MIAMI",
            "state": "FL",
            "postal_code": "331435428",
            "telephone_number": "305-667-7543"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AESTHETIC DENTISTRY OF SOUTH MIAMI",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-12-03",
        "last_updated": "2015-01-14",
        "status": "A",
        "authorized_official_last_name": "ERRO",
        "authorized_official_first_name": "JUAN",
        "authorized_official_middle_name": "CARLOS",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "305-667-7543",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "FL",
            "license": "DN9599",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Miami Lakes Dental Health Center",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in South Miami, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2015; 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.