Individual provider Active NPI

Jean Louis Tovar, DDS

  • Dentist
  • Coral Gables, FL
National Provider Identifier
1902488174
Registry record updated Mar 12, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
DN28400 Issued in FL
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, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 12, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210731000328 CT Order and Referring Only - DentistPractitioner - Dentist 5890199681

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DN28400FLMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Club Dental LLC General Practice PastSince Feb 1, 2024 Accepting new patients
Coral Dental Care General Practice Past Accepting new patients
Dental Care Association,Corp PastSince Sep 1, 2023 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.

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

Verify at the official NPI Registry.