Organization Active NPI

GS Dental

  • Dental Clinic/Center
  • Miami, FL
National Provider Identifier
1972039162
Registry record updated May 7, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
License
DN20771 Issued in FL
Legal business name
GS DENTAL
Practice address
15640 SW 72ND St
Miami, FL 33193-1921
Phone
(305) 200-3404
NPI assigned
May 7, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 7, 2017

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

Authorized official

Name
Dr. Gustavo Sague
Title
President
Phone
(305) 200-3404

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X DN20771 FL Primary

Addresses

Primary practice location

15640 SW 72ND St
Miami, FL 33193-1921

Mailing address

15640 SW 72ND St
Miami, FL 33193-1921
Phone (305) 200-3404

National Provider Directory

National Provider Directory

Locations

15640 SW 72nd St
Miami, FL 33193
Phone (305) 200-3404

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1494115200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1494115200000",
    "number": "1972039162",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15640 SW 72ND ST",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331931921",
            "telephone_number": "305-200-3404"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15640 SW 72ND ST",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331931921",
            "telephone_number": "305-200-3404"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GS DENTAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-05-07",
        "last_updated": "2017-05-07",
        "status": "A",
        "authorized_official_last_name": "SAGUE",
        "authorized_official_first_name": "GUSTAVO",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "305-200-3404",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "FL",
            "license": "DN20771",
            "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 May 7, 2017; 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.