Individual provider Active NPI

Maria Alejandra Yanez Bravo, DDS

  • General Practice Dentistry
  • North Miami Beach, FL
National Provider Identifier
1891074183
Registry record updated Jan 15, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DN19497 Issued in FL
Practice address
995 N Miami Beach Blvd
Suite # 137
North Miami Beach, FL 33162-3721
Phone
(305) 945-9333
NPI assigned
Aug 4, 2011
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 15, 2014

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X DN19497 FL Primary
General Practice Dentistry 1223G0001X 0401413257 VA

Addresses

Primary practice location

995 N Miami Beach Blvd
Suite # 137
North Miami Beach, FL 33162-3721

Mailing address

20904 Leeward CT
# 221
Aventura, FL 33180-3873
Phone (305) 496-3856

Other identifiers 1

IdentifierTypeStateIssuer
004488700MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
DN19497FLMDGeneral Practice Dentistry
0401413257VAMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Super Dental Inc Past Accepting new patients
Bravo Dental P.a. Past Accepting new patients
A.N.a Dental Services General Practice Past Accepting new patients

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": "1312416000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1389744000000",
    "number": "1891074183",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20904 LEEWARD CT",
            "address_2": "# 221",
            "city": "AVENTURA",
            "state": "FL",
            "postal_code": "331803873",
            "telephone_number": "305-496-3856"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "995 N MIAMI BEACH BLVD",
            "address_2": "SUITE # 137",
            "city": "NORTH MIAMI BEACH",
            "state": "FL",
            "postal_code": "331623721",
            "telephone_number": "305-945-9333"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YANEZ BRAVO",
        "first_name": "MARIA",
        "middle_name": "ALEJANDRA",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-08-04",
        "last_updated": "2014-01-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "FL",
            "license": "DN19497",
            "primary": true
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "VA",
            "license": "0401413257",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "004488700",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in North Miami Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2014; 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.