NPIMap

Organization Active NPI

Pediatric Dental Center of Homestead

  • Pediatric Dentistry
  • Homestead, FL
National Provider Identifier
1932449899
Registry record updated Feb 28, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
License
DN17284 Issued in FL
Legal business name
PEDIATRIC DENTAL CENTER OF HOMESTEAD
Practice address
925 NE 30TH Ter
Suite 302
Homestead, FL 33033-7613
Phone
(305) 246-3800
Fax
(305) 246-9800
NPI assigned
Feb 28, 2013
Last updated
Feb 28, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 28, 2013

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

Authorized official

Name
Enrique Acosta
Title
Pediatric Dentist/Owner
Phone
(786) 368-6212

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223P0221X DN17284 FL Primary

Addresses

Primary practice location

925 NE 30TH Ter
Suite 302
Homestead, FL 33033-7613

Mailing address

925 NE 30TH Ter
Suite 302
Homestead, FL 33033-7613
Phone (305) 246-3800

National Provider Directory

National Provider Directory

Locations

925 NE 30th Ter
Ste 302
Homestead, FL 33033
Phone (305) 246-3800

Practitioners & affiliated clinicians

Practitioners 12

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1362009600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1362009600000",
    "number": "1932449899",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "925 NE 30TH TER",
            "address_2": "SUITE 302",
            "city": "HOMESTEAD",
            "state": "FL",
            "postal_code": "330337613",
            "telephone_number": "305-246-3800",
            "fax_number": "305-246-9800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "925 NE 30TH TER",
            "address_2": "SUITE 302",
            "city": "HOMESTEAD",
            "state": "FL",
            "postal_code": "330337613",
            "telephone_number": "305-246-3800",
            "fax_number": "305-246-9800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEDIATRIC DENTAL CENTER OF HOMESTEAD",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-02-28",
        "last_updated": "2013-02-28",
        "status": "A",
        "authorized_official_last_name": "ACOSTA",
        "authorized_official_first_name": "ENRIQUE",
        "authorized_official_title_or_position": "PEDIATRIC DENTIST/OWNER",
        "authorized_official_telephone_number": "786-368-6212"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "FL",
            "license": "DN17284",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Homestead, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2013; 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.