Individual provider Active NPI

Marta L Nieto, MARTA NIETO D.D.S.

  • General Practice Dentistry
  • Miami, FL
National Provider Identifier
1962521898
Registry record updated Jul 29, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DN0013137 Issued in FL
Practice address
2710 SW 87TH Ave
Suite2700
Miami, FL 33165-3242
Phone
(305) 228-9600
Fax
(305) 228-9614
NPI assigned
Mar 29, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 29, 2016

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 DN0013137 FL Primary

Addresses

Primary practice location

2710 SW 87TH Ave
Suite2700
Miami, FL 33165-3242

Mailing address

2710 SW 87TH Ave
Suite2700
Miami, FL 33165-3242
Phone (305) 228-9600

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
DN0013137FLMDGeneral Practice Dentistry

NPI Registry JSON

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

{
    "created_epoch": "1175126400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1469750400000",
    "number": "1962521898",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2710 SW 87TH AVE",
            "address_2": "SUITE2700",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331653242",
            "telephone_number": "305-228-9600",
            "fax_number": "305-228-9614"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2710 SW 87TH AVE",
            "address_2": "SUITE2700",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331653242",
            "telephone_number": "305-228-9600",
            "fax_number": "305-228-9614"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NIETO",
        "first_name": "MARTA",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "MARTA NIETO D.D.S.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-29",
        "last_updated": "2016-07-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "FL",
            "license": "DN0013137",
            "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 Jul 29, 2016; 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.