Organization Active NPI

Jeffrey Marc Eisner, D.M.D., P.a.

  • Oral & Maxillofacial Surgery (D.M.D.)
  • Miami, FL
National Provider Identifier
1992147466
Registry record updated Jul 26, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral & Maxillofacial Surgery (D.M.D.)Taxonomy code 204E00000X
Legal business name
JEFFREY MARC EISNER, D.M.D., P.A.
Practice address
11020 N Kendall Dr
Suite 106
Miami, FL 33176-1246
Phone
(305) 279-8600
Fax
(305) 279-6918
NPI assigned
Jul 24, 2013
Last updated
Jul 26, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 26, 2013

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

Authorized official

Name
Dr. Jeffrey Marc Eisner, D.M.D.NPI 1982692174
Title
Owner
Phone
(305) 279-8600

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
Oral & Maxillofacial Surgery (D.M.D.) 204E00000X Primary

Addresses

Primary practice location

11020 N Kendall Dr
Suite 106
Miami, FL 33176-1246

Mailing address

11020 N Kendall Dr
Suite 106
Miami, FL 33176-1246
Phone (305) 279-8600

Other identifiers 1

IdentifierTypeStateIssuer
66500OtherFLMEDICARE PTAN

National Provider Directory

National Provider Directory

Locations

11020 SW 88th St
Ste 106
Miami, FL 33176
Phone (305) 279-8600

Practitioners & affiliated clinicians

Practitioners 2

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": "1374624000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1374796800000",
    "number": "1992147466",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11020 N KENDALL DR",
            "address_2": "SUITE 106",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331761246",
            "telephone_number": "305-279-8600",
            "fax_number": "305-279-6918"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11020 N KENDALL DR",
            "address_2": "SUITE 106",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331761246",
            "telephone_number": "305-279-8600",
            "fax_number": "305-279-6918"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JEFFREY MARC EISNER, D.M.D., P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-07-24",
        "last_updated": "2013-07-26",
        "status": "A",
        "authorized_official_last_name": "EISNER",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_middle_name": "MARC",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "305-279-8600",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.M.D."
    },
    "taxonomies": [
        {
            "code": "204E00000X",
            "taxonomy_group": "",
            "desc": "Oral & Maxillofacial Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "66500",
            "state": "FL"
        }
    ],
    "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 Jul 26, 2013; 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.