Specialized Dentistry of Miami, PA

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

SPECIALIZED DENTISTRY OF MIAMI, PA

Practice address

2020 SW 27TH Ave
Miami, FL 33145-2541

Phone

(917) 279-0899

NPI assigned

Dec 11, 2019

Organization subpart

No

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

Authorized official

Name

Dr. Ismael El Khouly Castilla, DDS, MS, PHDNPI 1457762585

Title

President

Phone

(917) 279-0899

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Ismael El Khouly Castilla, DDS, MS, PHD

  • Dentist
  • New York, NY
  • NPI 1457762585
  NPD Authorized official

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

{
    "created_epoch": "1576022400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1619740800000",
    "number": "1942848841",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2020 SW 27TH AVE",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331452541"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2020 SW 27TH AVE",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331452541",
            "telephone_number": "917-279-0899"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "16699 Collins Ave Apt 2803",
            "address_purpose": "LOCATION",
            "city": "Sunny Isles Beach",
            "state": "FL",
            "postal_code": "331605420",
            "country_code": "US",
            "telephone_number": "917-279-0899",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "SPECIALIZED DENTISTRY OF MIAMI, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-12-11",
        "last_updated": "2021-04-30",
        "certification_date": "2021-04-30",
        "status": "A",
        "authorized_official_last_name": "EL KHOULY CASTILLA",
        "authorized_official_first_name": "ISMAEL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "917-279-0899",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS, MS, PHD"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Dental Clinic/Center in Miami, FL
• Providers in Miami, FL by specialty
• Dental Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2021; 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.