Active NPI
Miguel Angel Saravia, D.D.S.
- Endodontics
- Hallandale Beach, FL
National Provider Identifier
1952569923
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Endodontics
- License
- 23691
- Practice address
- 1701 E Hallandale Beach Blvd
Hallandale Beach, FL 33009-4621 - Phone
- (949) 307-7104
- NPI assigned
- May 27, 2008
- Last updated
- Nov 1, 2021
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Endodontics | 1223E0200X | 26279 | TX | |
| Endodontics | 1223E0200X | 56765 | CA | |
| Endodontics | 1223E0200X | 23691 | FL | Primary |
Addresses
Primary practice location
1701 E Hallandale Beach Blvd
Hallandale Beach, FL 33009-4621
Mailing address
1701 E Hallandale Beach Blvd
Hallandale Beach, FL 33009-4621
Phone (949) 307-7104
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 23691 | FL | MD | Endodontist |
| 26279 | TX | MD | Endodontist |
| 56765 | CA | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1211846400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1635724800000",
"number": "1952569923",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1701 E HALLANDALE BEACH BLVD",
"city": "HALLANDALE BEACH",
"state": "FL",
"postal_code": "330094621",
"telephone_number": "949-307-7104"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1701 E HALLANDALE BEACH BLVD",
"city": "HALLANDALE BEACH",
"state": "FL",
"postal_code": "330094621",
"telephone_number": "949-307-7104"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SARAVIA",
"first_name": "MIGUEL",
"middle_name": "ANGEL",
"name_prefix": "Dr.",
"credential": "D.D.S.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-05-27",
"last_updated": "2021-11-01",
"certification_date": "2021-11-01",
"status": "A"
},
"taxonomies": [
{
"code": "1223E0200X",
"taxonomy_group": "",
"desc": "Dentist, Endodontics",
"state": "TX",
"license": "26279",
"primary": false
},
{
"code": "1223E0200X",
"taxonomy_group": "",
"desc": "Dentist, Endodontics",
"state": "CA",
"license": "56765",
"primary": false
},
{
"code": "1223E0200X",
"taxonomy_group": "",
"desc": "Dentist, Endodontics",
"state": "FL",
"license": "23691",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Hallandale Beach, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 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.