NPIMap

Organization Active NPI

Kendale Lakes Medical Center, Inc

  • Primary Care Clinic/Center
  • Miami, FL
National Provider Identifier
1982931424
Registry record updated Nov 4, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
License
ME056235 Issued in FL
Legal business name
KENDALE LAKES MEDICAL CENTER, INC
Practice address
13550 N Kendall Dr
Suite 180
Miami, FL 33186-1514
Phone
(305) 385-9919
Fax
(305) 385-9919
NPI assigned
Nov 4, 2009
Last updated
Nov 4, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 4, 2009

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

Authorized official

Name
Mr. Michael Gregorian, M.D.NPI 1053468983
Title
President
Phone
(305) 385-9919

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X ME056235 FL Primary

Addresses

Primary practice location

13550 N Kendall Dr
Suite 180
Miami, FL 33186-1514

Mailing address

13550 N Kendall Dr
Suite 180
Miami, FL 33186-1514
Phone (305) 385-9919

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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": "1257292800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1257292800000",
    "number": "1982931424",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13550 N KENDALL DR",
            "address_2": "SUITE 180",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331861514",
            "telephone_number": "305-385-9919",
            "fax_number": "305-385-9919"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13550 N KENDALL DR",
            "address_2": "SUITE 180",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331861514",
            "telephone_number": "305-385-9919",
            "fax_number": "305-385-9919"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KENDALE LAKES MEDICAL CENTER, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-11-04",
        "last_updated": "2009-11-04",
        "status": "A",
        "authorized_official_last_name": "GREGORIAN",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "305-385-9919",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "FL",
            "license": "ME056235",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Nov 4, 2009; 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.