Organization Active NPI

De Sousa & Maniglia DMD, PA

  • Dentist
  • Hialeah, FL
National Provider Identifier
1992210488
Registry record updated Dec 26, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
DN19465 Issued in FL
Legal business name
DE SOUSA & MANIGLIA DMD, PA
Practice address
8200 W. 33Rd Ave Ste 5
Hialeah, FL 33018
Phone
(954) 432-3655
Fax
(954) 438-0334
NPI assigned
Dec 6, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 26, 2017

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

Authorized official

Name
Mrs. Marvina De Sousa DMD, DMD
Title
Dentist/Owner
Phone
(954) 432-3655

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X DN19465 FL Primary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X DN19470 FL

Addresses

Primary practice location

8200 W. 33Rd Ave Ste 5
Hialeah, FL 33018

Mailing address

8200 W. 33Rd Ave
#Ste 5
Hialeah, FL 33018
Phone (954) 432-3655

Other names 1

  • Smile Solutions Dental Group Doing business as

National Provider Directory

National Provider Directory

Locations

8200 W 33rd Ave
Ste 5
Hialeah, FL 33018
Phone (954) 432-3655

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1512518400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1514246400000",
    "number": "1992210488",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8200 W. 33RD AVE",
            "address_2": "#STE 5",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "33018",
            "telephone_number": "954-432-3655",
            "fax_number": "954-438-0334"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8200 W. 33RD AVE STE 5",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "33018",
            "telephone_number": "954-432-3655",
            "fax_number": "954-438-0334"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DE SOUSA & MANIGLIA DMD, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-12-06",
        "last_updated": "2017-12-26",
        "status": "A",
        "authorized_official_last_name": "DE SOUSA DMD",
        "authorized_official_first_name": "MARVINA",
        "authorized_official_title_or_position": "DENTIST/OWNER",
        "authorized_official_telephone_number": "954-432-3655",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "FL",
            "license": "DN19465",
            "primary": true
        },
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "FL",
            "license": "DN19470",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Smile Solutions Dental Group",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Dec 26, 2017; 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.