Organization Active NPI

Florida City Dental

  • General Practice Dentistry
  • Homestead, FL
National Provider Identifier
1972877215
Registry record updated Mar 5, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DN14911 Issued in FL
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

Updated by the provider on Mar 5, 2012

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)CodeLicenseStatePrimary
General Practice DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 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 Directory

Locations

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.

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.

Verify at the official NPI Registry.