Active NPI
Maria Alejandra Yanez Bravo, DDS
- General Practice Dentistry
- North Miami Beach, FL
National Provider Identifier
1891074183
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- DN19497
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 004488700 | Medicaid | FL |
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
| License | State | Type | Specialty |
|---|---|---|---|
| DN19497 | FL | MD | General Practice Dentistry |
| 0401413257 | VA | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New 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.
-
- Dentist
- North Miami Beach, FL
- NPI 1538436431
-
- General Practice Dentistry
- North Miami Beach, FL
- NPI 1134377047
-
- Dental Clinic/Center
- North Miami Beach, FL
- NPI 1427272947
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.