Organization Active NPI

Menendez Dental Associates, P.a.

  • General Practice Dentistry
  • Miami, FL
National Provider Identifier
1922399252
Registry record updated Jan 8, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DN17325 Issued in FL
Legal business name
MENENDEZ DENTAL ASSOCIATES, P.A.
Practice address
3721 SW 107TH Ave
Miami, FL 33165-3638
Phone
(305) 226-7135
NPI assigned
Apr 20, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 8, 2024

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

Authorized official

Name
Jorge Menendez, DDSNPI 1447551015
Title
Dentist/Owner
Phone
(305) 226-7135

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223G0001X DN17325 FL Primary

Addresses

Primary practice location

3721 SW 107TH Ave
Miami, FL 33165-3638

Mailing address

3721 SW 107TH Ave
Miami, FL 33165-3638
Phone (305) 226-7135

National Provider Directory

National Provider Directory
Tax ID family
Menendez Dental Associates PA2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 1

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": "1303257600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1704672000000",
    "number": "1922399252",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3721 SW 107TH AVE",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331653638",
            "telephone_number": "305-226-7135"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3721 SW 107TH AVE",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331653638",
            "telephone_number": "305-226-7135"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MENENDEZ DENTAL ASSOCIATES, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-04-20",
        "last_updated": "2024-01-08",
        "certification_date": "2024-01-08",
        "status": "A",
        "authorized_official_last_name": "MENENDEZ",
        "authorized_official_first_name": "JORGE",
        "authorized_official_title_or_position": "DENTIST/OWNER",
        "authorized_official_telephone_number": "305-226-7135",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "FL",
            "license": "DN17325",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Jan 8, 2024; 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.