Individual provider Active NPI

Manuel Cesar Escalona Zaldivar, DMD

  • General Practice Dentistry
  • Miami, FL
National Provider Identifier
1952962318
Registry record updated Aug 16, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DN24176 Issued in FL
Practice address
2260 SW 8TH St Ste 201
Miami, FL 33135-4938
Phone
(305) 631-1998
NPI assigned
Jun 26, 2019
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 16, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X DN24176 FL Primary

Addresses

Primary practice location

2260 SW 8TH St Ste 201
Miami, FL 33135-4938

Mailing address

911 SW 139TH PL
Miami, FL 33184-3046

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20190730000499 FL Order and Referring Only - DentistPractitioner - Dentist 7517293517

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Coast Florida P.a. Past Accepting new patients
Family Dental PastSince Apr 23, 2023 Accepting new patients
Coast Florida P.a. PastSince Jun 22, 2021 Accepting new patients

Organizations & group practices 3

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": "1561507200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1723766400000",
    "number": "1952962318",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "911 SW 139TH PL",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331843046"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2260 SW 8TH ST STE 201",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331354938",
            "telephone_number": "305-631-1998"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ESCALONA ZALDIVAR",
        "first_name": "MANUEL",
        "middle_name": "CESAR",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-06-26",
        "last_updated": "2024-08-16",
        "certification_date": "2024-08-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "FL",
            "license": "DN24176",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

Verify at the official NPI Registry.