Individual provider Active NPI

Andrea Mariana Terris

  • Dentist
  • North Miami, FL
National Provider Identifier
1891290946
Registry record updated Aug 13, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
DRP1813 Issued in FL
Practice address
12000 Biscayne Blvd Ste 130
North Miami, FL 33181-2742
Phone
(305) 891-2444
NPI assigned
Mar 29, 2018
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 13, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X DRP1813 FL Primary

Addresses

Primary practice location

12000 Biscayne Blvd Ste 130
North Miami, FL 33181-2742

Mailing address

2333 Brickell Ave Apt 1412
Miami, FL 33129-2413
Phone (305) 858-5046

Other practice location 1

4410 W 16th Ave Ste 31
Hialeah, FL 33012-7835
Phone (786) 673-3555

Other practice location 2

7036 Coral Way
Miami, FL 33155-1603
Phone (786) 673-3555

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
DRP1813FLMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Faculty Associates, Inc Past Accepting new patients
Sher Dental of North Miami PastSince Aug 23, 2020 Accepting new patients

Organizations & group practices 2

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": "1522281600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1597276800000",
    "number": "1891290946",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2333 BRICKELL AVE APT 1412",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331292413",
            "telephone_number": "305-858-5046"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12000 BISCAYNE BLVD STE 130",
            "city": "NORTH MIAMI",
            "state": "FL",
            "postal_code": "331812742",
            "telephone_number": "305-891-2444"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4410 W 16th Ave Ste 31",
            "address_purpose": "LOCATION",
            "city": "Hialeah",
            "state": "FL",
            "postal_code": "330127835",
            "country_code": "US",
            "telephone_number": "786-673-3555",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "7036 Coral Way",
            "address_purpose": "LOCATION",
            "city": "Miami",
            "state": "FL",
            "postal_code": "331551603",
            "country_code": "US",
            "telephone_number": "786-673-3555",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TERRIS",
        "first_name": "ANDREA",
        "middle_name": "MARIANA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-03-29",
        "last_updated": "2020-08-13",
        "certification_date": "2020-08-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "FL",
            "license": "DRP1813",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Miami, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2020; 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.