Active NPI
Jose Antonio Novoa, D.M.D.
- Dentist
- Miami, FL
National Provider Identifier
1891272910
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 23714
- Practice address
- 9280 SW 72ND St Ste 101
Miami, FL 33173-3240 - Phone
- (786) 385-8577
- NPI assigned
- Jul 21, 2018
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 23714 | FL | Primary |
Addresses
Primary practice location
9280 SW 72ND St Ste 101
Miami, FL 33173-3240
Mailing address
9775 SW 125TH Ave
Miami, FL 33186-2434
Phone (786) 385-8577
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 |
|---|---|---|---|
| 23714 | FL | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1532131200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1532131200000",
"number": "1891272910",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9775 SW 125TH AVE",
"city": "MIAMI",
"state": "FL",
"postal_code": "331862434",
"telephone_number": "786-385-8577"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9280 SW 72ND ST STE 101",
"city": "MIAMI",
"state": "FL",
"postal_code": "331733240",
"telephone_number": "786-385-8577"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NOVOA",
"first_name": "JOSE",
"middle_name": "ANTONIO",
"name_prefix": "Dr.",
"credential": "D.M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2018-07-21",
"last_updated": "2018-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "FL",
"license": "23714",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Miami, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 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.