Jorge Roberto Centurion, DDS

Primary specialty

PeriodonticsTaxonomy code 1223P0300X

License

DN10888 Issued in FL

Practice address

8861 SW 69 CT
Miami, FL 33156

Phone

(305) 662-2216

Fax

(305) 663-6647

NPI assigned

Oct 19, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Opted out of Medicare

Yes, effective Mar 12, 2021 through Mar 12, 2027

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Miami Healthy Smiles

  • Periodontics
  • Pinecrest, FL
  • NPI 1306462213
  NPD (past)

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

{
    "created_epoch": "1161216000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1942382304",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8861 SW 69 CT",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "33156",
            "telephone_number": "305-662-2216",
            "fax_number": "305-663-6647"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8861 SW 69 CT",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "33156",
            "telephone_number": "305-662-2216",
            "fax_number": "305-663-6647"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CENTURION",
        "first_name": "JORGE",
        "middle_name": "ROBERTO",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-19",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0300X",
            "taxonomy_group": "",
            "desc": "Dentist, Periodontics",
            "state": "FL",
            "license": "DN10888",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Centrum Medical Holdings, LLC
• Centrum Medical Holdings, LLC Dba Centrum Health
• Centrum Pharmacy, LLC
• Centrum Physical Therapy Inc
• Alejandro Jose Centurion, MD
• Jose Centurion, APRN
• Century Aesthetics & Research LLC
• Century Alf II Inc
• Century Assisted Living Facility, Inc.
• Century Clinical Services Inc

• Periodontics in Miami, FL
• Providers in Miami, FL by specialty
• Periodontics in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.