NPIMap

Organization Active NPI

Miami Children's Hospital

Doing business as MCH ToothTown

  • Pediatric Dentistry
  • Doral, FL
National Provider Identifier
1972545879
Registry record updated Sep 15, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
License
574498-3 Issued in FL
Legal business name
MIAMI CHILDREN'S HOSPITAL
Doing business as
MCH ToothTown
Practice address
3601 NW 107TH Ave
Doral, FL 33178-4377
Phone
(305) 663-8538
Fax
(305) 662-8314
NPI assigned
Jun 12, 2006
Last updated
Sep 15, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 15, 2023

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

Authorized official

Name
Matthew A Love
Title
President & Ceo
Phone
(305) 666-6511

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Dentistry 1223P0221X 574498-3 FL Primary

Addresses

Primary practice location

3601 NW 107TH Ave
Doral, FL 33178-4377

Mailing address

3601 NW 107TH Ave
Doral, FL 33178-4377
Phone (305) 663-8538

Other identifiers 1

IdentifierTypeStateIssuer
074560000MedicaidFL

Other names 1

  • MCH ToothTown Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Miami Children's Hospital32 organizations share this tax ID, including this one

Other organizations with this tax ID 31

Organizations that report the same tax identification number in the National Provider Directory.

View all 31

Locations

3601 NW 107th Ave
Doral, FL 33178
Phone (305) 624-3672

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1150070400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1694736000000",
    "number": "1972545879",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3601 NW 107TH AVE",
            "city": "DORAL",
            "state": "FL",
            "postal_code": "331784377",
            "telephone_number": "305-663-8538",
            "fax_number": "305-662-8314"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3601 NW 107TH AVE",
            "city": "DORAL",
            "state": "FL",
            "postal_code": "331784377",
            "telephone_number": "305-663-8538",
            "fax_number": "305-662-8314"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIAMI CHILDREN'S HOSPITAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-12",
        "last_updated": "2023-09-15",
        "certification_date": "2023-09-15",
        "status": "A",
        "authorized_official_last_name": "LOVE",
        "authorized_official_first_name": "MATTHEW",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT & CEO",
        "authorized_official_telephone_number": "305-666-6511"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "FL",
            "license": "574498-3",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "074560000",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MCH ToothTown",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "MCH ToothTown",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Doral, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2023; 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.