NPIMap

Organization Active NPI

Dejesus Orthodontic Team LLC

Doing business as Kiss Orthodontics

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Miami, FL
National Provider Identifier
1932538493
Registry record updated Nov 5, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
License
DN18028 Issued in FL
Legal business name
DEJESUS ORTHODONTIC TEAM LLC
Doing business as
Kiss Orthodontics
Practice address
11445 SW 40TH St
Miami, FL 33165-3311
Phone
(786) 443-0442
NPI assigned
Nov 5, 2013
Last updated
Nov 5, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 5, 2013

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

Authorized official

Name
Dr. Christian Ellis Dejesus, D.M.DNPI 1821308073
Title
Owner/Manager
Phone
(305) 726-4048

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthodontics and Dentofacial Orthopedics Dentistry 1223X0400X DN18028 FL Primary

Addresses

Primary practice location

11445 SW 40TH St
Miami, FL 33165-3311

Mailing address

11445 SW 40TH St
Miami, FL 33165-3311
Phone (786) 443-0442

Other identifiers 1

IdentifierTypeStateIssuer
1821308073OtherFLNPI

Other names 1

  • Kiss Orthodontics Doing business as

National Provider Directory

National Provider Directory

Locations

11445 SW 40th St
Miami, FL 33165
Phone (305) 428-2797

Practitioners & affiliated clinicians

Practitioners 1

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": "1383609600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1383609600000",
    "number": "1932538493",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11445 SW 40TH ST",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331653311",
            "telephone_number": "786-443-0442"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11445 SW 40TH ST",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331653311",
            "telephone_number": "786-443-0442"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DEJESUS ORTHODONTIC TEAM LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-11-05",
        "last_updated": "2013-11-05",
        "status": "A",
        "authorized_official_last_name": "DEJESUS",
        "authorized_official_first_name": "CHRISTIAN",
        "authorized_official_middle_name": "ELLIS",
        "authorized_official_title_or_position": "OWNER/MANAGER",
        "authorized_official_telephone_number": "305-726-4048",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.M.D"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "FL",
            "license": "DN18028",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1821308073",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Kiss Orthodontics",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Nov 5, 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.