Organization Active NPI

Pure Dental Smiles, LLC

  • Dental Clinic/Center
  • North Miami Beach, FL
National Provider Identifier
1922732379
Registry record updated Jul 12, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
PURE DENTAL SMILES, LLC
Practice address
1829 NE Miami GDN Dr
North Miami Beach, FL 33179-5035
Phone
(305) 932-6600
NPI assigned
Jul 12, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 12, 2022

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

Authorized official

Name
Anabel Casado, DMDNPI 1699391243
Title
Owner
Phone
(786) 660-3873

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
Dental Clinic/Center 261QD0000X Primary

Addresses

Primary practice location

1829 NE Miami GDN Dr
North Miami Beach, FL 33179-5035

Mailing address

8736 NW 149TH Ter
Miami Lakes, FL 33018-1312
Phone (786) 660-3873

Other identifiers 1

IdentifierTypeStateIssuer
112484500MedicaidFL

National Provider Directory

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": "1657584000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1657584000000",
    "number": "1922732379",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8736 NW 149TH TER",
            "city": "MIAMI LAKES",
            "state": "FL",
            "postal_code": "330181312",
            "telephone_number": "786-660-3873"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1829 NE MIAMI GDN DR",
            "city": "NORTH MIAMI BEACH",
            "state": "FL",
            "postal_code": "331795035",
            "telephone_number": "305-932-6600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PURE DENTAL SMILES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-07-12",
        "last_updated": "2022-07-12",
        "certification_date": "2022-07-12",
        "status": "A",
        "authorized_official_last_name": "CASADO",
        "authorized_official_first_name": "ANABEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "786-660-3873",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "112484500",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in North Miami Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2022; 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.