Active NPI
Maidelys Valdes
- Dentist
- Weston, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 28498
- Practice address
- 280 Indian Trce Ste a
Weston, FL 33326-4509 - Phone
- (954) 248-2895
- NPI assigned
- Oct 31, 2023
- Last updated
- Feb 20, 2024
- 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 |
|---|---|---|---|---|
| Dentist | 122300000X | 28498 | FL | Primary |
Addresses
Primary practice location
280 Indian Trce Ste a
Weston, FL 33326-4509
Mailing address
5701 W 25TH CT Apt 306
Hialeah, FL 33016-4443
Phone (786) 317-3537
Other practice location 1
240 S 40th St
Philadelphia, PA 19104-6030
Phone (215) 898-8965
Other practice location 2
18312 Pines Blvd
Pembroke Pines, FL 33029-1412
Phone (786) 204-0713
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20240528002055 | FL | Order and Referring Only - Dentist | 9032551676 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 28498 | FL | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| West Pines Modern Dentistry, PA | Dentist | Past | Accepting new patients |
| Weston Modern Dentistry, PA | Past | Accepting new patients |
Networks
- Freedom Health HMO Network
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba West Pines Modern Dentistry
- Dentist
- Pembroke Pines, FL
- NPI 1134654064
-
dba Weston Modern Dentistry
- General Practice Dentistry
- Weston, FL
- NPI 1902356389
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1698710400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1708387200000",
"number": "1932972122",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5701 W 25TH CT APT 306",
"city": "HIALEAH",
"state": "FL",
"postal_code": "330164443",
"telephone_number": "786-317-3537"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "280 INDIAN TRCE STE A",
"city": "WESTON",
"state": "FL",
"postal_code": "333264509",
"telephone_number": "954-248-2895"
}
],
"practiceLocations": [
{
"address_1": "240 S 40th St",
"address_purpose": "LOCATION",
"city": "Philadelphia",
"state": "PA",
"postal_code": "191046030",
"country_code": "US",
"telephone_number": "215-898-8965",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "18312 Pines Blvd",
"address_purpose": "LOCATION",
"city": "Pembroke Pines",
"state": "FL",
"postal_code": "330291412",
"country_code": "US",
"telephone_number": "786-204-0713",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "VALDES",
"first_name": "MAIDELYS",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2023-10-31",
"last_updated": "2024-02-20",
"certification_date": "2024-02-20",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "FL",
"license": "28498",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Weston, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.