Active NPI
Andreina Jativa Garcia, DMD
- Dentist
- Hallandale Beach, FL
National Provider Identifier
1891271797
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- DN23543
- Practice address
- 1130 E Hallandale Beach Blvd
Hallandale Beach, FL 33009 - Phone
- (305) 912-4039
- Fax
- (305) 909-9686
- NPI assigned
- Jul 13, 2018
- Sex
- Female
- Sole proprietor
- No
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 | DN23543 | FL | |
| Dentist | 122300000X | DN23543 | FL | Primary |
Addresses
Primary practice location
1130 E Hallandale Beach Blvd
Hallandale Beach, FL 33009
Mailing address
1209 NE 96TH St
Miami Shores, FL 33138-2553
Phone (786) 597-7712
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 |
|---|---|---|---|
| DN23543 | FL | MD | General Practice Dentistry |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1531440000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1532390400000",
"number": "1891271797",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1209 NE 96TH ST",
"city": "MIAMI SHORES",
"state": "FL",
"postal_code": "331382553",
"telephone_number": "786-597-7712"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1130 E HALLANDALE BEACH BLVD",
"city": "HALLANDALE BEACH",
"state": "FL",
"postal_code": "33009",
"telephone_number": "305-912-4039",
"fax_number": "305-909-9686"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JATIVA GARCIA",
"first_name": "ANDREINA",
"name_prefix": "Dr.",
"credential": "DMD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-07-13",
"last_updated": "2018-07-24",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "FL",
"license": "DN23543",
"primary": false
},
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "FL",
"license": "DN23543",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Hallandale Beach, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.