NPIMap

Organization Active NPI

Florida Children's Dentistry, P.a.

  • Pediatric Dentistry
  • Hialeah, FL
National Provider Identifier
1972854149
Registry record updated Jan 26, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
Legal business name
FLORIDA CHILDREN'S DENTISTRY, P.A.
Practice address
4410 W 16TH Ave
#52
Hialeah, FL 33012-7100
Phone
(305) 825-9899
NPI assigned
Sep 27, 2012
Last updated
Jan 26, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 26, 2024

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

Authorized official

Name
Dr. Howard Fetner, D.M.D
Title
Owner
Phone
(305) 825-9899

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Dentistry 1223P0221X Primary
Orthodontics and Dentofacial Orthopedics DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223X0400X

Addresses

Primary practice location

4410 W 16TH Ave
#52
Hialeah, FL 33012-7100

Mailing address

4410 W 16TH Ave Ste 47
Hialeah, FL 33012-7193
Phone (305) 825-9899

Other practice location 1

3401 S Congress Ave Ste 206
Palm Springs, FL 33461-3066
Phone (561) 366-2222

Other practice location 2

2950 SW 8th St
Miami, FL 33135-2827
Phone (305) 456-9417

Other practice location 3

4919 Sheridan St
Hollywood, FL 33021-2823
Phone (954) 510-9898

Other identifiers 4

IdentifierTypeStateIssuer
114162202MedicaidFL
114162200MedicaidFL
114162201MedicaidFL
114162205MedicaidFL

Other names 1

  • ANIA CABRERIZO DMD PA Former legal business name

National Provider Directory

National Provider Directory

Locations

10002 Gulf Center Dr
Unit D135
Fort Myers, FL 33913

4410 W 16th Ave
Ste 47
Hialeah, FL 33012

4410 W 16th Ave
Ste 50
Hialeah, FL 33012
Phone (305) 825-9899

4919 Sheridan St
Hollywood, FL 33021
Phone (954) 510-9898

2950 SW 8th St
Miami, FL 33135
Phone (305) 251-5390

3401 S Congress Ave
Ste 206
Palm Springs, FL 33461
Phone (561) 366-2222

Practitioners & affiliated clinicians

Practitioners 11

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": "1348704000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1706227200000",
    "number": "1972854149",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4410 W 16TH AVE STE 47",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330127193",
            "telephone_number": "305-825-9899"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4410 W 16TH AVE",
            "address_2": "#52",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330127100",
            "telephone_number": "305-825-9899"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3401 S Congress Ave Ste 206",
            "address_purpose": "LOCATION",
            "city": "Palm Springs",
            "state": "FL",
            "postal_code": "334613066",
            "country_code": "US",
            "telephone_number": "561-366-2222",
            "fax_number": "561-924-1222",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2950 SW 8th St",
            "address_purpose": "LOCATION",
            "city": "Miami",
            "state": "FL",
            "postal_code": "331352827",
            "country_code": "US",
            "telephone_number": "305-456-9417",
            "fax_number": "305-456-0508",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4919 Sheridan St",
            "address_purpose": "LOCATION",
            "city": "Hollywood",
            "state": "FL",
            "postal_code": "330212823",
            "country_code": "US",
            "telephone_number": "954-510-9898",
            "fax_number": "954-510-9895",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "FLORIDA CHILDREN'S DENTISTRY, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-09-27",
        "last_updated": "2024-01-26",
        "certification_date": "2024-01-26",
        "status": "A",
        "authorized_official_last_name": "FETNER",
        "authorized_official_first_name": "HOWARD",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "305-825-9899",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.M.D"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "1223X0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "114162202",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "114162200",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "114162201",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "114162205",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ANIA CABRERIZO DMD PA",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Hialeah, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2024; 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.