Organization Active NPI

Rodolfo Lea Plaza DDS PA

  • Dentist
  • Hialeah, FL
National Provider Identifier
1881066108
Registry record updated Feb 23, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
DN19240 Issued in FL
Legal business name
RODOLFO LEA PLAZA DDS PA
Doing business as
Children & Families Dental Center
Practice address
400 W 65TH St
Hialeah, FL 33012-6640
Phone
(305) 827-0434
Fax
(305) 827-1501
NPI assigned
Oct 26, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 23, 2016

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

Authorized official

Name
Rodolfo Lea Plaza
Title
DDS
Phone
(305) 827-0434

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X DN19240 FL Primary

Addresses

Primary practice location

400 W 65TH St
Hialeah, FL 33012-6640

Mailing address

400 West 65 St
Hialeah, FL 33012
Phone (305) 827-0434

Other identifiers 1

IdentifierTypeStateIssuer
DN19240OtherFLDENTIST

Other names 1

  • Children & Families Dental Center Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1445817600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1456185600000",
    "number": "1881066108",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 WEST 65 ST",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "33012",
            "telephone_number": "305-827-0434",
            "fax_number": "305-827-1501"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 W 65TH ST",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330126640",
            "telephone_number": "305-827-0434",
            "fax_number": "305-827-1501"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RODOLFO LEA PLAZA DDS PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-10-26",
        "last_updated": "2016-02-23",
        "status": "A",
        "authorized_official_last_name": "LEA PLAZA",
        "authorized_official_first_name": "RODOLFO",
        "authorized_official_title_or_position": "DDS",
        "authorized_official_telephone_number": "305-827-0434"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "FL",
            "license": "DN19240",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DENTIST",
            "identifier": "DN19240",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Children & Families Dental Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Hialeah, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 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.