Active NPI
Florida City Dental
- General Practice Dentistry
- Homestead, FL
National Provider Identifier
1972877215
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- DN14911
- Legal business name
- FLORIDA CITY DENTAL
- Practice address
- 103 E Lucy St # 125
Homestead, FL 33034-2501 - Phone
- (305) 242-5777
- Fax
- (305) 242-5722
- NPI assigned
- Mar 5, 2012
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Carla Martinez
- Title
- Officer
- Phone
- (305) 242-5777
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | DN14911 | FL | Primary |
Addresses
Primary practice location
103 E Lucy St # 125
Homestead, FL 33034-2501
Mailing address
103 E Lucy St # 125
Homestead, FL 33034-2501
Phone (305) 242-5777
National Provider Directory
National Provider DirectoryLocations
103 E Lucy St
#125
Homestead, FL 33034
Phone (305) 242-5777
Ownership & related parties
Subparts reporting this organization as parent 1
Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.
-
- Dentist
- Hialeah, FL
- NPI 1386175404
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1330905600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1330905600000",
"number": "1972877215",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "103 E LUCY ST # 125",
"city": "HOMESTEAD",
"state": "FL",
"postal_code": "330342501",
"telephone_number": "305-242-5777",
"fax_number": "305-242-5722"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "103 E LUCY ST # 125",
"city": "HOMESTEAD",
"state": "FL",
"postal_code": "330342501",
"telephone_number": "305-242-5777",
"fax_number": "305-242-5722"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "FLORIDA CITY DENTAL",
"organizational_subpart": "NO",
"enumeration_date": "2012-03-05",
"last_updated": "2012-03-05",
"status": "A",
"authorized_official_last_name": "MARTINEZ",
"authorized_official_first_name": "CARLA",
"authorized_official_title_or_position": "OFFICER",
"authorized_official_telephone_number": "305-242-5777",
"authorized_official_name_prefix": "Mrs."
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Dentist, General Practice",
"state": "FL",
"license": "DN14911",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Homestead, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.