MAIN STREET CHILDREN'S DENTISTRY AND ORTHODONTICS AT LONDON SQUARE, PA (NPI# 1174859896) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174859896 |
| Entity Type | Organization |
| Organization Name | MAIN STREET CHILDREN'S DENTISTRY AND ORTHODONTICS AT LONDON SQUARE, PA |
| Other Organization Name | DENTAL ASSOCIATES OF WEST KENDALL |
| Practice Address |
13400 Sw 120th St Ste 310 Miami FL 33186-7440 |
| Mailing Address |
13195 Sw 134th St Fl 2 Miami FL 33186-4461 |
| Practice Telephone | 3052559541 |
| Mailing Telephone | 3052742499 |
| Mailing Fax Number | 3052749312 |
| Enumeration Date | 2009-10-30 |
| Last Update Date | 2014-08-04 |
| Authorized Official Name | MS. STEPHANIE GOMEZ (PROVIDER RELATIONS SPECIALIST) |
| Authorized Official Telephone | 3052742499 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 122300000X | Dentist | DN5380 | FL | Dental Providers |
| N | 1223G0001X |
Dentist Specialization: General Practice |
Dental Providers | ||
| N | 1223X0400X |
Dentist Specialization: Orthodontics and Dentofacial Orthopedics |
Dental Providers | ||
| Y | 1223P0221X |
Dentist Specialization: Pediatric Dentistry |
Dental Providers |
| Other Name | Type Code |
|---|---|
| Dental Associates of West Kendall | Doing Business As Name - Organization |
| Street Address |
13400 SW 120TH ST STE 310 |
| City | MIAMI |
| State | FL |
| Zip Code | 33186-7440 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093768426 | Andrea Hayward | Physical Therapist | 13400 Sw 120th St, Miami, FL 33186-7440 | 2006-05-18 |
| 1568904746 | Claremedica Health Group, LLC | Family Medicine | 13400 Sw 120th St, Suite 305, Miami, FL 33186-7440 | 2016-11-05 |
| 1427401777 | Pediatric Specialty Group, Inc. | Orthopaedic Surgery | 13400 Sw 120th St, Miami, FL 33186-7440 | 2016-07-21 |
| 1750725727 | Rebecca Bernstein | Nurse Practitioner | 13400 Sw 120th St, Miami, FL 33186-7440 | 2013-04-22 |
| 1912286246 | Lourdes Ferreiro | Physical Therapist | 13400 Sw 120th St, Miami, FL 33186-7440 | 2011-08-04 |
| 1922387273 | Melissa J. Harrell | Physical Therapist | 13400 Sw 120th St, Miami, FL 33186-7440 | 2011-08-04 |
| 1518246842 | Milena M. Hormazbal | Occupational Therapist | 13400 Sw 120th St, Miami, FL 33186-7440 | 2011-08-04 |
| 1285945493 | Mch Pediatric Cardiology, LLC | Radiology | 13400 Sw 120th St, Suite 200, Miami, FL 33186-7440 | 2010-06-23 |
| 1235367756 | Margarett Ferrer | Speech-Language Pathologist | 13400 Sw 120th St, Miami, FL 33186-7440 | 2009-06-23 |
| 1871736975 | Variety Childern's Hospital | Radiology | 13400 Sw 120th St, Suite 100 & 200, Miami, FL 33186-7440 | 2009-04-20 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962010934 | West Kendall Medical LLC | Durable Medical Equipment & Medical Supplies | 13805 Sw 128th St Ste 201b, Miami, FL 33186 | 2020-07-16 |
| 1902446040 | Claudia Alfonso | Behavior Technician | 13838 Sw 139 Ct, Miami, FL 33186 | 2020-01-07 |
| 1740825256 | West Kendall Baptist Hospital Inc | Non-Pharmacy Dispensing Site | 14150 Sw 136 Street, Miami, FL 33186 | 2019-11-08 |
| 1114561768 | Jami Ferrare | Nurse Practitioner | 9862 Sw 118th Ave, Miami, FL 33186 | 2019-11-06 |
| 1659913473 | Lissette Blanco | Behavior Technician | 9120 Sw 143 Ave, Miami, FL 33186 | 2019-10-14 |
| 1548819949 | Crystal Domenech | Clinic/Center | Stars Center for Speech Therapy & Related Services LLC, 12030 Sw 129th Ct #209, Miami, FL 33186 | 2019-09-09 |
| 1780243931 | Amore Mental Health Corp. | Case Management | 14221 Sw 120 Street, Suite 109, Miami, FL 33186 | 2019-06-11 |
| 1639631047 | Dynasty Mental Health, Inc | Clinic/Center | 13590 Sw 134th Ave Ste 203, Miami, FL 33186 | 2019-04-03 |
| 1922575133 | University Health Care West Kendall, Inc. | Clinic/Center | 13611 Sw 131 Street, Miami, FL 33186 | 2018-10-25 |
| 1245705904 | Lamberto Hernandez | Registered Nurse | 12604 Sw 119th Path, Miami, FL 33186 | 2018-10-09 |
| Find all providers in zip 33186 | ||||
| Taxonomy Code | 1223P0221X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Pediatric Dentistry |
| An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043829377 | Little Champions Pediatric Dentistry | Dentist | 1330 Sw 22nd St Ste 406, Miami, FL 33145-2945 | 2020-07-22 |
| 1538673975 | Pedo Ortho Dental Specialists LLC | Dentist | 8950 Sw 74th Ct Ste 124, Miami, FL 33156-3171 | 2017-11-21 |
| 1831541424 | Garcia Saint-hilaire Pa | Dentist | 2260 Sw 87th Ave, Miami, FL 33165-2090 | 2016-07-07 |
| 1053701771 | Ashley Lynn Rosenbaum | Dentist | 41 Se 5th St Apt 2409, Miami, FL 33131-2551 | 2015-02-02 |
| 1689063133 | Yohayra Elizabeth Chardon | Dentist | 15831 Sw 139th Pl, Miami, FL 33177-1096 | 2015-01-21 |
| 1851707079 | Danielle Fernandez | Dentist | 6601 Sw 80th St Ste 212, Miami, FL 33143-4661 | 2014-07-08 |
| 1649598087 | Tatiana Toquica | Dentist | 8319 W Flagler St, Miami, FL 33144-2029 | 2010-05-10 |
| 1356570303 | Celia Marina Roman | Dentist | 2950 Sw 8th St, Miami, FL 33135-2827 | 2009-07-13 |
| 1366677858 | Jorge E Landa | Dentist | 11790 Sw 89th St, Miami, FL 33186-2165 | 2009-05-27 |
| 1235374471 | Tuong-vi Le | Dentist | 185 Sw 7th St, Apt 3004, Miami, FL 33130-2990 | 2008-12-02 |
| Find all providers in MIAMI | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.