Individual provider Active NPI

Piero G. Palacios, D.D.S, M.S.

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Miami, FL
National Provider Identifier
1881721785
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
License
DN17443 Issued in FL
Practice address
8740 N Kendall Dr
Suite 203
Miami, FL 33176-2212
Phone
(305) 274-3113
Fax
(305) 271-3640
NPI assigned
Feb 27, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthodontics and Dentofacial Orthopedics Dentistry 1223X0400X DN17443 FL Primary

Addresses

Primary practice location

8740 N Kendall Dr
Suite 203
Miami, FL 33176-2212

Mailing address

1111 Brickell Bay Dr
Apartment 409
Miami, FL 33131-2950
Phone (860) 223-7014

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.
Opted out of Medicare
Yes, effective Apr 26, 2017 through Apr 26, 2027

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
DN17443FLMDOrthodontics and Dentofacial Orthopedic Dentist

Practice roles

OrganizationSpecialtyStatusNew patients
Palacios Orthodontics Inc Orthodontics and Dentofacial Orthopedics CurrentSince Feb 7, 2021 Accepting new patients
Alan D Shoopak DMD Orthodontic Group II LLC Orthodontics and Dentofacial Orthopedics Past Accepting new patients
Afilliated Dental Specialist PL Past Accepting new patients

Locations

19018 NE 29th Ave
Miami, FL 33180
Phone (305) 932-4222

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1172534400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1881721785",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1111 BRICKELL BAY DR",
            "address_2": "APARTMENT 409",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331312950",
            "telephone_number": "860-223-7014",
            "fax_number": "305-271-3640"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8740 N KENDALL DR",
            "address_2": "SUITE 203",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331762212",
            "telephone_number": "305-274-3113",
            "fax_number": "305-271-3640"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PALACIOS",
        "first_name": "PIERO",
        "middle_name": "G.",
        "name_prefix": "Dr.",
        "credential": "D.D.S, M.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-02-27",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "FL",
            "license": "DN17443",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

Verify at the official NPI Registry.