Individual provider Active NPI

Daniela Teresa Gomez, DDS

  • Endodontics
  • Miami Lakes, FL
National Provider Identifier
1952606931
Registry record updated Apr 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
EndodonticsTaxonomy code 1223E0200X
License
DN19231 Issued in FL
Practice address
7975 NW 154TH St Ste 250
Miami Lakes, FL 33016-5806
Phone
(305) 615-6300
Fax
(305) 330-9902
NPI assigned
Jan 21, 2011
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 17, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Endodontics 1223E0200X DN19231 FL Primary

Addresses

Primary practice location

7975 NW 154TH St Ste 250
Miami Lakes, FL 33016-5806

Mailing address

4100 Salzedo St Apt 615
Coral Gables, FL 33146-1746

Other practice location 1

1060 Brickell Ave
Miami, FL 33131-3915
Phone (305) 373-9699

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

LicenseStateTypeSpecialty
DN19231FLMDEndodontist

Practice roles

OrganizationSpecialtyStatusNew patients
Advanced Endodontic Group Endodontics Past Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1295568000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1523923200000",
    "number": "1952606931",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4100 SALZEDO ST APT 615",
            "city": "CORAL GABLES",
            "state": "FL",
            "postal_code": "331461746"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7975 NW 154TH ST STE 250",
            "city": "MIAMI LAKES",
            "state": "FL",
            "postal_code": "330165806",
            "telephone_number": "305-615-6300",
            "fax_number": "305-330-9902"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1060 Brickell Ave",
            "address_purpose": "LOCATION",
            "city": "Miami",
            "state": "FL",
            "postal_code": "331313915",
            "country_code": "US",
            "telephone_number": "305-373-9699",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GOMEZ",
        "first_name": "DANIELA",
        "middle_name": "TERESA",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-01-21",
        "last_updated": "2018-04-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223E0200X",
            "taxonomy_group": "",
            "desc": "Dentist, Endodontics",
            "state": "FL",
            "license": "DN19231",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami Lakes, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 2018; 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.