Organization Active NPI

Oasis Dental Spa LLC

  • Dental Clinic/Center
  • Hialeah, FL
National Provider Identifier
1922834720
Registry record updated Sep 10, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
OASIS DENTAL SPA LLC
Practice address
2800 W 4 TH Ave
Suite 105a-106
Hialeah, FL 33010
Phone
(786) 515-4830
NPI assigned
Sep 10, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 10, 2024

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

Authorized official

Name
Rosalyn Suarez - Rosa, D.D.S
Title
Owner
Phone
(786) 515-4830

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X Primary

Addresses

Primary practice location

2800 W 4 TH Ave
Suite 105a-106
Hialeah, FL 33010

Mailing address

2800 W 4 TH Ave
Suite 105a-106
Hialeah, FL 33010
Phone (786) 515-4830

Other names 1

  • Oasis Dental Spa llc Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1725926400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1725926400000",
    "number": "1922834720",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2800 W 4 TH AVE",
            "address_2": "SUITE 105A-106",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "33010",
            "telephone_number": "786-515-4830"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2800 W 4 TH AVE",
            "address_2": "SUITE 105A-106",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "33010",
            "telephone_number": "786-515-4830"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OASIS DENTAL SPA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-09-10",
        "last_updated": "2024-09-10",
        "certification_date": "2024-09-03",
        "status": "A",
        "authorized_official_last_name": "SUAREZ - ROSA",
        "authorized_official_first_name": "ROSALYN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "786-515-4830",
        "authorized_official_credential": "D.D.S"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Oasis Dental Spa llc",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Sep 10, 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.