Individual provider Active NPI

Luisa M Utset-Ward, DMD

  • Dentist
  • Miami, FL
National Provider Identifier
1912926080
Registry record updated May 3, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
DN0010987 Issued in FL
Practice address
655 SW 20TH Rd
Miami, FL 33129-1325
Phone
(305) 785-5391
Fax
(305) 858-9478
NPI assigned
Jul 19, 2006
Last updated
May 3, 2010By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 3, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X DN0010987 FL Primary

Addresses

Primary practice location

655 SW 20TH Rd
Miami, FL 33129-1325

Mailing address

655 SW 20TH Rd
Suite 1020
Miami, FL 33129-1325
Phone (305) 785-5391

Other identifiers 1

IdentifierTypeStateIssuer
0722316-00MedicaidFL

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
DN0010987FLMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Thomas Ward DMD Dentist Past Accepting new patients

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": "1153267200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1272844800000",
    "number": "1912926080",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "655 SW 20TH RD",
            "address_2": "SUITE 1020",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331291325",
            "telephone_number": "305-785-5391",
            "fax_number": "305-858-9478"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "655 SW 20TH RD",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331291325",
            "telephone_number": "305-785-5391",
            "fax_number": "305-858-9478"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "UTSET-WARD",
        "first_name": "LUISA",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-19",
        "last_updated": "2010-05-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "FL",
            "license": "DN0010987",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0722316-00",
            "state": "FL"
        }
    ],
    "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 May 3, 2010; 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.