Active NPI
Sage Dental of Downtown Doral PLLC
- Dentist
- Doral, FL
National Provider Identifier
1952761934
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- Legal business name
- SAGE DENTAL OF DOWNTOWN DORAL PLLC
- Practice address
- 5335 NW 87TH Ave
Suite C103
Doral, FL 33178-2833 - Phone
- (786) 456-1710
- Fax
- (561) 431-8169
- NPI assigned
- Mar 3, 2016
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Antonio Cruz, DMD
- Title
- Chief Dental Director
- Phone
- (561) 999-9650
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | Primary |
Addresses
Primary practice location
5335 NW 87TH Ave
Suite C103
Doral, FL 33178-2833
Mailing address
6600 Congress Ave Ste 150
Boca Raton, FL 33487-1213
Phone (561) 999-9650
National Provider Directory
National Provider DirectoryLocations
5335 NW 87th Ave
Ste C103
Doral, FL 33178
Phone (786) 456-1710
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Dentist
- North Miami Beach, FL
- NPI 1164268058
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1456963200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1684454400000",
"number": "1952761934",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6600 CONGRESS AVE STE 150",
"city": "BOCA RATON",
"state": "FL",
"postal_code": "334871213",
"telephone_number": "561-999-9650"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5335 NW 87TH AVE",
"address_2": "SUITE C103",
"city": "DORAL",
"state": "FL",
"postal_code": "331782833",
"telephone_number": "786-456-1710",
"fax_number": "561-431-8169"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SAGE DENTAL OF DOWNTOWN DORAL PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2016-03-03",
"last_updated": "2023-05-19",
"certification_date": "2023-05-19",
"status": "A",
"authorized_official_last_name": "CRUZ",
"authorized_official_first_name": "ANTONIO",
"authorized_official_title_or_position": "CHIEF DENTAL DIRECTOR",
"authorized_official_telephone_number": "561-999-9650",
"authorized_official_credential": "DMD"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Dentist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Doral, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.