Active NPI
Jean Louis Tovar, DDS
- Dentist
- Coral Gables, FL
National Provider Identifier
1902488174
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- DN28400
- Practice address
- 564 SW 42ND Ave FL 2
Coral Gables, FL 33134-1962 - Phone
- (305) 203-5114
- NPI assigned
- Apr 26, 2021
- Last updated
- Mar 12, 2026
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Dentist | 122300000X | DN28400 | FL | Primary |
| General Practice Dentistry | 1223G0001X | DN28400 | FL |
Addresses
Primary practice location
564 SW 42ND Ave FL 2
Coral Gables, FL 33134-1962
Mailing address
8560 SW 89TH Ave
Miami, FL 33173-4555
Phone (305) 497-9345
Other practice location 1
14227 SW 42nd St
Miami, FL 33175-6408
Phone (305) 230-4040
Other practice location 2
1881 N University Dr Ste 114
Coral Springs, FL 33071-6094
Phone (954) 344-6266
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CT
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20210731000328 | CT | Order and Referring Only - Dentist | 5890199681 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DN28400 | FL | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Club Dental LLC | General Practice | Past | Accepting new patients |
| Coral Dental Care | General Practice | Past | Accepting new patients |
| Dental Care Association,Corp | Past | Accepting new patients |
Organizations & group practices 3
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.
-
- General Practice Dentistry
- Coral Springs, FL
- NPI 1710086491
-
- Dental Clinic/Center
- Homestead, FL
- NPI 1871290924
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1619395200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1773273600000",
"number": "1902488174",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8560 SW 89TH AVE",
"city": "MIAMI",
"state": "FL",
"postal_code": "331734555",
"telephone_number": "305-497-9345"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "564 SW 42ND AVE FL 2",
"city": "CORAL GABLES",
"state": "FL",
"postal_code": "331341962",
"telephone_number": "305-203-5114"
}
],
"practiceLocations": [
{
"address_1": "14227 SW 42nd St",
"address_purpose": "LOCATION",
"city": "Miami",
"state": "FL",
"postal_code": "331756408",
"country_code": "US",
"telephone_number": "305-230-4040",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1881 N University Dr Ste 114",
"address_purpose": "LOCATION",
"city": "Coral Springs",
"state": "FL",
"postal_code": "330716094",
"country_code": "US",
"telephone_number": "954-344-6266",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "TOVAR",
"first_name": "JEAN",
"middle_name": "LOUIS",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2021-04-26",
"last_updated": "2026-03-12",
"certification_date": "2026-03-12",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "FL",
"license": "DN28400",
"primary": true
},
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "FL",
"license": "DN28400",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Coral Gables, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.