Active NPI
Joaquin A. Novoa
- General Practice Dentistry
- South Miami, FL
National Provider Identifier
1962666768
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- DN0012844
- Practice address
- 5730 SW 74TH Ter
South Miami, FL 33143-5308 - Phone
- (305) 665-3115
- NPI assigned
- Jul 11, 2008
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | DN0012844 | FL | Primary |
Addresses
Primary practice location
5730 SW 74TH Ter
South Miami, FL 33143-5308
Mailing address
5730 SW 74TH Ter
South Miami, FL 33143-5308
Phone (305) 665-3115
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
| License | State | Type | Specialty |
|---|---|---|---|
| DN0012844 | FL | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Joaquin Novoa | General Practice | Past | Accepting new patients |
| Joaquin Novoa | Past | Accepting new patients |
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 and National Provider Directory roles.
-
- Dentist
- South Miami, FL
- NPI 1578960506
-
- General Practice Dentistry
- South Miami, FL
- NPI 1962869537
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1215734400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1215734400000",
"number": "1962666768",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5730 SW 74TH TER",
"city": "SOUTH MIAMI",
"state": "FL",
"postal_code": "331435308",
"telephone_number": "305-665-3115"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5730 SW 74TH TER",
"city": "SOUTH MIAMI",
"state": "FL",
"postal_code": "331435308",
"telephone_number": "305-665-3115"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NOVOA",
"first_name": "JOAQUIN",
"middle_name": "A.",
"name_prefix": "Dr.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2008-07-11",
"last_updated": "2008-07-11",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "FL",
"license": "DN0012844",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in South Miami, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.