Michelle De Fazio, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

DN21777 Issued in FL

Practice address

1 Alhambra PLZ Ste 25
Coral Gables, FL 33134-5216

Phone

(786) 507-4440

NPI assigned

Mar 4, 2015

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Group Health, Inc.

  • Multi-Specialty Clinic/Center
  • Minneapolis, MN
  • NPI 1710924683
  NPD
• Sage Dental of Coral Gables PLLC

  • Dentist
  • Coral Gables, FL
  • NPI 1003362443
  NPD (past)

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

{
    "created_epoch": "1425427200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1608076800000",
    "number": "1962894683",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2000 SALZEDO ST APT 418",
            "city": "CORAL GABLES",
            "state": "FL",
            "postal_code": "331344337",
            "telephone_number": "954-770-1666",
            "fax_number": "651-523-8584"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 ALHAMBRA PLZ STE 25",
            "city": "CORAL GABLES",
            "state": "FL",
            "postal_code": "331345216",
            "telephone_number": "786-507-4440"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DE FAZIO",
        "first_name": "MICHELLE",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-03-04",
        "last_updated": "2020-12-16",
        "certification_date": "2020-12-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MN",
            "license": "D13646",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "FL",
            "license": "DN21777",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Andrea Beatriz De Aguayo, LMHC, PSYD
• Elizabeth Marie De Aguirre, DDS
• Tami S De Araujo, M.D.
• Camila De Avila, MD
• Maiana Pereira De Cortada, ARNP
• Nilda Maria De la Fe, LMHC
• Adriana De la Fuente, PA-C
• De la Pedraja Radiology Assoc., Inc
• De la Pedraja Radiology Assoc., Inc
• Jorge Luis De la Pedraja, M.D.

• Dentist in Coral Gables, FL
• Providers in Coral Gables, FL by specialty
• Dentist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 2020; 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.