Active NPI
Mina Ghorbanifarajzadeh, DMD
- Dental Clinic/Center
- Miami Beach, FL
National Provider Identifier
1932758505
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dental Clinic/Center
- License
- 24114
- Practice address
- 757 W 41St St
Miami Beach, FL 33140-3413 - Phone
- (305) 672-4444
- NPI assigned
- Sep 6, 2019
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dental Clinic/Center | 261QD0000X | 24114 | FL | Primary |
Addresses
Primary practice location
757 W 41St St
Miami Beach, FL 33140-3413
Mailing address
1920 NE 210TH St
Miami, FL 33179-1521
Other names 1
- Mina Ghorbani
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 24114 | FL | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hamid Nassery DMD PA | Current | Accepting new patients | |
| Head and Neck Treatment Center of Miami Inc | Past | Accepting new patients |
Locations
757 W 41st St
Miami Beach, FL 33140
Phone (305) 672-4444
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Durable Medical Equipment & Medical Supplies
- Miami Beach, FL
- NPI 1730915729
-
- General Practice Physician
- Miami Beach, FL
- NPI 1043626765
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1567728000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1567728000000",
"number": "1932758505",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1920 NE 210TH ST",
"city": "MIAMI",
"state": "FL",
"postal_code": "331791521"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "757 W 41ST ST",
"city": "MIAMI BEACH",
"state": "FL",
"postal_code": "331403413",
"telephone_number": "305-672-4444"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GHORBANIFARAJZADEH",
"first_name": "MINA",
"credential": "DMD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-09-06",
"last_updated": "2019-09-06",
"status": "A"
},
"taxonomies": [
{
"code": "261QD0000X",
"taxonomy_group": "",
"desc": "Clinic/Center, Dental",
"state": "FL",
"license": "24114",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "MINA",
"last_name": "GHORBANI",
"credential": "DMD",
"code": "2",
"type": "Professional Name"
}
]
}
Other providers in Miami Beach, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.