NPIMap

Organization Active NPI

MJ Dental Office

  • Dentist
  • Hialeah, FL
National Provider Identifier
1912357906
Registry record updated Jun 21, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
DN19789 Issued in FL
Legal business name
MJ DENTAL OFFICE
Practice address
2360 W 68TH St
Suite 124
Hialeah, FL 33016-5514
Phone
(305) 825-7447
Fax
(786) 534-9399
NPI assigned
Jun 21, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 21, 2016

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

Authorized official

Name
Eduardo F Gil Araujo
Title
Owner
Phone
(305) 825-7447

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193200000X MULTI-SPECIALTY GROUP 122300000X DN19789 FL Primary
DentistGroup: 193200000X MULTI-SPECIALTY GROUP 122300000X DN20900 FL
DentistGroup: 193200000X MULTI-SPECIALTY GROUP 122300000X DN21842 FL
Dental HygienistGroup: 193200000X MULTI-SPECIALTY GROUP 124Q00000X DH24260 FL
Dental HygienistGroup: 193200000X MULTI-SPECIALTY GROUP 124Q00000X DH23064 FL

Addresses

Primary practice location

2360 W 68TH St
Suite 124
Hialeah, FL 33016-5514

Mailing address

2360 W 68TH St
Suite 124
Hialeah, FL 33016-5514
Phone (305) 825-7447

Other identifiers 1

IdentifierTypeStateIssuer
015091000MedicaidFL

National Provider Directory

National Provider Directory

Locations

2360 W 68th St
Ste 124
Hialeah, FL 33016
Phone (305) 825-7447

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1466467200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1466467200000",
    "number": "1912357906",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2360 W 68TH ST",
            "address_2": "SUITE 124",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330165514",
            "telephone_number": "305-825-7447",
            "fax_number": "786-534-9399"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2360 W 68TH ST",
            "address_2": "SUITE 124",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330165514",
            "telephone_number": "305-825-7447",
            "fax_number": "786-534-9399"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MJ DENTAL OFFICE",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-06-21",
        "last_updated": "2016-06-21",
        "status": "A",
        "authorized_official_last_name": "GIL ARAUJO",
        "authorized_official_first_name": "EDUARDO",
        "authorized_official_middle_name": "F",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "305-825-7447"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "FL",
            "license": "DN19789",
            "primary": true
        },
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "FL",
            "license": "DN20900",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "FL",
            "license": "DN21842",
            "primary": false
        },
        {
            "code": "124Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dental Hygienist",
            "state": "FL",
            "license": "DH24260",
            "primary": false
        },
        {
            "code": "124Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dental Hygienist",
            "state": "FL",
            "license": "DH23064",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "015091000",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hialeah, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2016; 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.