Fausto Nicieza, DMD

Primary specialty

Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X

License

DN15528 Issued in FL

Practice address

1491 E 4TH Ave
Hialeah, FL 33010-3527

Phone

(305) 888-8260

Fax

(305) 888-5563

NPI assigned

Aug 23, 2006

Last updated

Apr 1, 2016By the provider in NPPES

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

Other identifiers 2

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

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Practice roles

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.

• Fausto Nicieza D.M.D.,P.a.

  • General Practice Dentistry
  • Hialeah, FL
  • NPI 1467642470
  NPD (past) Authorized official
• Hollywood Orthodontics, LLC

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Fort Lauderdale, FL
  • NPI 1811464639
  NPD (past) Authorized official

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

{
    "created_epoch": "1156291200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1459468800000",
    "number": "1952418360",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1491 E 4TH AVE",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330103527",
            "telephone_number": "305-888-8260",
            "fax_number": "305-888-5563"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1491 E 4TH AVE",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330103527",
            "telephone_number": "305-888-8260",
            "fax_number": "305-888-5563"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NICIEZA",
        "first_name": "FAUSTO",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-23",
        "last_updated": "2016-04-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "FL",
            "license": "DN15528",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "016821300",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TAX ID #",
            "identifier": "651053975",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Brian Nguyen
• Lanh Thi Nguyen, O.D.
• Nguyen Nguyen, MD
• Quynh-Dan Nguyen, DO
• Nicholas Speech and Therapy Services Inc
• Nicklaus Children's Pediatric Specialists, LLC
• Kevin Nicolas
• Eduardo Nieto Hernandez
• Gretter Elena Nieto Martinez
• Yanisleydis Nieves Claro

• Orthodontics and Dentofacial Orthopedics Dentistry in Hialeah, FL
• Providers in Hialeah, FL by specialty
• Orthodontics and Dentofacial Orthopedics Dentistry in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2016; 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.

Verify at the official NPI Registry.