Doral Dental

Primary specialty

DentistTaxonomy code 122300000X

License

DN11702 Issued in FL

Legal business name

DORAL DENTAL

Practice address

10818 NW 58TH St
Doral, FL 33178-2854

Phone

(305) 477-7601

Fax

(305) 471-0137

NPI assigned

Nov 8, 2006

Last updated

Jul 13, 2009By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Kerry David Smith, D.M.D

Title

Dentist and Owner

Phone

(305) 477-7601

Specialties & licenses 4

Addresses

Other identifiers 3

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

{
    "created_epoch": "1162944000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1247443200000",
    "number": "1881764173",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10818 NW 58TH ST",
            "city": "DORAL",
            "state": "FL",
            "postal_code": "331782854",
            "telephone_number": "305-477-7601",
            "fax_number": "305-471-0137"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10818 NW 58TH ST",
            "city": "DORAL",
            "state": "FL",
            "postal_code": "331782854",
            "telephone_number": "305-477-7601",
            "fax_number": "305-471-0137"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DORAL DENTAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-08",
        "last_updated": "2009-07-13",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "KERRY",
        "authorized_official_middle_name": "DAVID",
        "authorized_official_title_or_position": "DENTIST AND OWNER",
        "authorized_official_telephone_number": "305-477-7601",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.M.D"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "FL",
            "license": "DN11702",
            "primary": true
        },
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "FL",
            "license": "DN13223",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "FL",
            "license": "DN14811",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "FL",
            "license": "DN 14900",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DENTIST",
            "identifier": "056546939",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DENTIST",
            "identifier": "595303579",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DENTIST",
            "identifier": "650561621",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Doral Center for Sleep Disorder LLC
• Doral Center for Sleep Disorder LLC
• Doral Center Rehab Inc
• Doral Clinic Inc
• Doral Community Clinic Inc
• Doral Dental Partners
• Doral Family Dental PL
• Doral Family Dentistry P.a.
• Doral Health and Recovery Center, Corp
• Doral Health Solutions Inc

• Dentist in Doral, FL
• Providers in Doral, FL by specialty
• Dentist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2009; 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.