Individual provider Active NPI

Yissel Fernandez Santos, DMD

  • General Practice Dentistry
  • Miami, FL
National Provider Identifier
1962135814
Registry record updated Jun 19, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DN27264 Issued in FL
Practice address
8740 N Kendall Dr Ste 214
Miami, FL 33176-2221
Phone
(305) 740-1496
NPI assigned
Jul 7, 2022
Last updated
Jun 19, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 19, 2025

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 DN27264 FL Primary

Addresses

Primary practice location

8740 N Kendall Dr Ste 214
Miami, FL 33176-2221

Mailing address

10540 NW 10TH St Apt 101
Pembroke Pines, FL 33026-3907
Phone (786) 655-1615

Other practice location 1

10540 NW 10th St Apt 101
Pembroke Pines, FL 33026-3907
Phone (786) 655-1615

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
DN27264FLMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Yissel Fernandez's Dental LLC General Practice Current Accepting new patients
Simple Dental LLC Current Accepting new patients

Networks

  • Freedom Health HMO Network

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1657152000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1750291200000",
    "number": "1962135814",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10540 NW 10TH ST APT 101",
            "city": "PEMBROKE PINES",
            "state": "FL",
            "postal_code": "330263907",
            "telephone_number": "786-655-1615"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8740 N KENDALL DR STE 214",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331762221",
            "telephone_number": "305-740-1496"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10540 NW 10th St Apt 101",
            "address_purpose": "LOCATION",
            "city": "Pembroke Pines",
            "state": "FL",
            "postal_code": "330263907",
            "country_code": "US",
            "telephone_number": "786-655-1615",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FERNANDEZ SANTOS",
        "first_name": "YISSEL",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-07-07",
        "last_updated": "2025-06-19",
        "certification_date": "2025-06-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "FL",
            "license": "DN27264",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 2025; 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.