Individual provider Active NPI

Geanys Batista Gomez, DDS

  • General Practice Dentistry
  • Miami, FL
National Provider Identifier
1902486350
Registry record updated Aug 4, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
28358 Issued in FL
Practice address
12538 SW 120TH St
Miami, FL 33186-9064
Phone
(786) 314-7959
Fax
(786) 245-6772
NPI assigned
Apr 10, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 4, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 28358 FL Primary

Addresses

Primary practice location

12538 SW 120TH St
Miami, FL 33186-9064

Mailing address

12538 SW 120TH St
Miami, FL 33186-9064
Phone (305) 310-0403

Other practice location 1

3801 Hollywood Blvd Ste 225
Hollywood, FL 33021-6849
Phone (305) 310-0403

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
28358FLMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Design and Family Dentistry 2 CurrentSince Jul 13, 2025 Accepting new patients

Locations

12538 SW 120th St
Miami, FL 33186
Phone (305) 646-6700

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1618012800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1754265600000",
    "number": "1902486350",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12538 SW 120TH ST",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331869064",
            "telephone_number": "305-310-0403"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12538 SW 120TH ST",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331869064",
            "telephone_number": "786-314-7959",
            "fax_number": "786-245-6772"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3801 Hollywood Blvd Ste 225",
            "address_purpose": "LOCATION",
            "city": "Hollywood",
            "state": "FL",
            "postal_code": "330216849",
            "country_code": "US",
            "telephone_number": "305-310-0403",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BATISTA GOMEZ",
        "first_name": "GEANYS",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-04-10",
        "last_updated": "2025-08-04",
        "certification_date": "2025-08-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "FL",
            "license": "28358",
            "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 Aug 4, 2025; 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.