Organization Active NPI

Dade Family Dental Center

  • Dentist
  • Opa Locka, FL
National Provider Identifier
1922183748
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
9016 Issued in FL
Legal business name
DADE FAMILY DENTAL CENTER
Practice address
1830 NW 183Rd Street
Opa Locka, FL 33056
Phone
(305) 621-1400
Fax
(305) 620-4680
NPI assigned
Oct 27, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Delroy W. Webb, D.M.D.
Title
Owner President
Phone
(954) 436-3628

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193200000X MULTI-SPECIALTY GROUP 122300000X 9016 FL Primary

Addresses

Primary practice location

1830 NW 183Rd Street
Opa Locka, FL 33056

Mailing address

1830 NW 183Rd Street
Miami, FL 33056
Phone (305) 621-1400

Other identifiers 1

IdentifierTypeStateIssuer
1881602415OtherNPI

National Provider Directory

National Provider Directory

Locations

1830 NW 183rd St
Opa Locka, FL 33056
Phone (305) 621-1400

NPI Registry JSON

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

{
    "created_epoch": "1161907200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1922183748",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1830 NW 183RD STREET",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "33056",
            "telephone_number": "305-621-1400",
            "fax_number": "305-620-4680"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1830 NW 183RD STREET",
            "city": "OPA LOCKA",
            "state": "FL",
            "postal_code": "33056",
            "telephone_number": "305-621-1400",
            "fax_number": "305-620-4680"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DADE FAMILY DENTAL CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-27",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "WEBB",
        "authorized_official_first_name": "DELROY",
        "authorized_official_middle_name": "W.",
        "authorized_official_title_or_position": "OWNER PRESIDENT",
        "authorized_official_telephone_number": "954-436-3628",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.M.D."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "FL",
            "license": "9016",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1881602415",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Opa Locka, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.