Organization Active NPI

Lucky Seven Family Dentistry Corp

  • Dentist
  • Miami, FL
National Provider Identifier
1972095354
Registry record updated Jun 1, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
DN17467 Issued in FL
Legal business name
LUCKY SEVEN FAMILY DENTISTRY CORP
Practice address
10511 SW 88TH St Ste C101
Miami, FL 33176-1537
Phone
(786) 507-1551
NPI assigned
Jun 1, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 1, 2018

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

Authorized official

Name
Dr. Mario Carbot, DMD
Title
General Dentist
Phone
(786) 507-1551

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193200000X MULTI-SPECIALTY GROUP 122300000X DN17467 FL Primary

Addresses

Primary practice location

10511 SW 88TH St Ste C101
Miami, FL 33176-1537

Mailing address

10511 SW 88TH St Ste C101
Miami, FL 33176-1537
Phone (786) 507-1551

Other identifiers 1

IdentifierTypeStateIssuer
DN17467OtherFLDENTAL LIC

Other names 1

  • Lucky Seven Dentistry Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1527811200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1527811200000",
    "number": "1972095354",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10511 SW 88TH ST STE C101",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331761537",
            "telephone_number": "786-507-1551"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10511 SW 88TH ST STE C101",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331761537",
            "telephone_number": "786-507-1551"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LUCKY SEVEN FAMILY DENTISTRY CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-06-01",
        "last_updated": "2018-06-01",
        "status": "A",
        "authorized_official_last_name": "CARBOT",
        "authorized_official_first_name": "MARIO",
        "authorized_official_title_or_position": "GENERAL DENTIST",
        "authorized_official_telephone_number": "786-507-1551",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "FL",
            "license": "DN17467",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DENTAL LIC",
            "identifier": "DN17467",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Lucky Seven Dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Jun 1, 2018; 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.