Organization Active NPI

Beautiful Smiles Palmetto Bay

  • General Practice Dentistry
  • Palmetto Bay, FL
National Provider Identifier
1942641444
Registry record updated Aug 13, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DN18013 Issued in FL
Legal business name
BEAUTIFUL SMILES PALMETTO BAY
Practice address
15801 S Dixie Hwy
#B
Palmetto Bay, FL 33157-1837
Phone
(305) 255-4140
Fax
(305) 252-8323
NPI assigned
Jul 12, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 13, 2013

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

Authorized official

Name
Amira Baker, DDS
Title
Officer
Phone
(305) 255-4140

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X DN18013 FL Primary

Addresses

Primary practice location

15801 S Dixie Hwy
#B
Palmetto Bay, FL 33157-1837

Mailing address

15801 S Dixie Hwy
#B
Palmetto Bay, FL 33157-1837
Phone (305) 255-4140

National Provider Directory

National Provider Directory

Locations

15801 S Dixie Hwy
Ste B
Palmetto Bay, FL 33157
Phone (305) 255-4140

NPI Registry JSON

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

{
    "created_epoch": "1373587200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1376352000000",
    "number": "1942641444",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15801 S DIXIE HWY",
            "address_2": "#B",
            "city": "PALMETTO BAY",
            "state": "FL",
            "postal_code": "331571837",
            "telephone_number": "305-255-4140",
            "fax_number": "305-252-8323"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15801 S DIXIE HWY",
            "address_2": "#B",
            "city": "PALMETTO BAY",
            "state": "FL",
            "postal_code": "331571837",
            "telephone_number": "305-255-4140",
            "fax_number": "305-252-8323"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BEAUTIFUL SMILES PALMETTO BAY",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-07-12",
        "last_updated": "2013-08-13",
        "status": "A",
        "authorized_official_last_name": "BAKER",
        "authorized_official_first_name": "AMIRA",
        "authorized_official_title_or_position": "OFFICER",
        "authorized_official_telephone_number": "305-255-4140",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "FL",
            "license": "DN18013",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Palmetto Bay, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 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.