Gordon Ben Chiu, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DN 14174 Issued in FL

Practice address

925 NE 30TH Ter Ste 118
Homestead, FL 33033-7614

Phone

(305) 247-0099

Fax

(305) 247-0084

NPI assigned

Aug 31, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Dental Associates of Homestead, PA

  • General Practice Dentistry
  • Homestead, FL
  • NPI 1285746800
  NPD (past)

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

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1597017600000",
    "number": "1962514919",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12601 SW 77TH ST",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331833543",
            "telephone_number": "305-598-1610",
            "fax_number": "305-247-0084"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "925 NE 30TH TER STE 118",
            "city": "HOMESTEAD",
            "state": "FL",
            "postal_code": "330337614",
            "telephone_number": "305-247-0099",
            "fax_number": "305-247-0084"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHIU",
        "first_name": "GORDON",
        "middle_name": "BEN",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-31",
        "last_updated": "2020-08-10",
        "certification_date": "2020-08-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "FL",
            "license": "DN 14174",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "homesteadmgr@dentalcarealliance.com",
            "affiliation": "N",
            "address_1": "925 NE 30th Ter Ste 118",
            "city": "Homestead",
            "state": "FL",
            "country_code": "US",
            "postal_code": "330337614",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Anna Chirino
• Lianet Chirino
• Yisel Chirino, FNP
• Briana Elizabeth Chirinos, APRN, FNP-BC
• Ninima Rachel Chiu Ramos
• Daron Chiverton
• Dora Choy, PHARM.D.
• Gabriela Yvette Chung, LMHC
• Carlo Winston Cicchini
• Ana Yly Cid Arias

• General Practice Dentistry in Homestead, FL
• Providers in Homestead, FL by specialty
• General Practice Dentistry in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.