Organization Active NPI

Childrens Dentistry of America Homestead LLC

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Homestead, FL
National Provider Identifier
1891407011
Registry record updated Dec 28, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
Legal business name
CHILDRENS DENTISTRY OF AMERICA HOMESTEAD LLC
Practice address
311 NE 8TH St
Homestead, FL 33030-4738
Phone
(954) 775-0723
Fax
(754) 241-0242
NPI assigned
Dec 19, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 28, 2022

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

Authorized official

Name
Gisleda A Ramos, DDS,MS
Title
Owner
Phone
(772) 485-9759

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthodontics and Dentofacial Orthopedics DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223X0400X Primary

Addresses

Primary practice location

311 NE 8TH St
Homestead, FL 33030-4738

Mailing address

311 NE 8TH St
Homestead, FL 33030-4738
Phone (954) 775-0723

Other identifiers 1

IdentifierTypeStateIssuer
101344800MedicaidFL

National Provider Directory

National Provider Directory

Locations

311 NE 8th St
Homestead, FL 33030
Phone (305) 248-8600

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1671408000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1672185600000",
    "number": "1891407011",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "311 NE 8TH ST",
            "city": "HOMESTEAD",
            "state": "FL",
            "postal_code": "330304738",
            "telephone_number": "954-775-0723"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "311 NE 8TH ST",
            "city": "HOMESTEAD",
            "state": "FL",
            "postal_code": "330304738",
            "telephone_number": "954-775-0723",
            "fax_number": "754-241-0242"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHILDRENS DENTISTRY OF AMERICA HOMESTEAD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-12-19",
        "last_updated": "2022-12-28",
        "certification_date": "2022-12-28",
        "status": "A",
        "authorized_official_last_name": "RAMOS",
        "authorized_official_first_name": "GISLEDA",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "772-485-9759",
        "authorized_official_credential": "DDS,MS"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "101344800",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Homestead, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 28, 2022; 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.