KEVIN ROGER PHANORD (NPI# 1922622638) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1922622638 |
| Entity Type | Individual |
| Full Name | KEVIN ROGER PHANORD |
| Credential | DMD |
| Practice Address |
1245 Nw 119th St Miami FL 33167-3231 |
| Practice Telephone | 3056857863 |
| Enumeration Date | 2020-05-29 |
| Last Update Date | 2020-05-29 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
DN24864 | FL | Dental Providers |
| Street Address |
1245 NW 119TH ST |
| City | MIAMI |
| State | FL |
| Zip Code | 33167-3231 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750516159 | Stephanie Spurlock Gordon | Dental Hygienist | 1245 Nw 119th St, Miami, FL 33167-3231 | 2009-05-29 |
| 1316561954 | Kyle Joseph Phanord | Dentist | 1245 Nw 119th St, Miami, FL 33167-3231 | 2020-05-29 |
| 1245717651 | Ari Evan Tow | Dentist | 1245 Nw 119th St, Miami, FL 33167-3231 | 2018-07-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487183711 | Yusleydi Almaguer | Behavioral Analyst | 1205 Nw 116 Terr, Miami, FL 33167 | 2017-06-09 |
| 1952833477 | Lakeashi Lewis | Custodial Care Facility | 11910 N.w 19 Ave. #a, Miami, FL. 33167 | 2017-04-03 |
| 1326499617 | Roilan Hernandez | Behavior Technician | 12525 Nw 18th Ct, Miami, FL 33167 | 2016-06-28 |
| 1083064497 | Sierra Watkins | Behavioral Analyst | 15710 Nw 37th Place, Miami, FL 33167 | 2016-06-16 |
| 1790022093 | Adryanas Tech Codding One Corp | Contractor | 1363 Nw118th St, Miami, FL 33167 | 2013-01-08 |
| 1366574220 | Jose M Jules | Respiratory Therapist, Certified | 14611 Nw 13rd, Miami, FL 33167 | 2007-03-09 |
| 1881614212 | Synergy Pharmacy & Medical Supplies | Durable Medical Equipment & Medical Supplies | 1543 Nw 119 St, Miami, FL 33167 | 2006-07-20 |
| 1255362877 | Phanord & Associates Pa | Dentist | 1245 Nw 119 St, Miami, FL 33167 | 2006-07-05 |
| 1194761213 | Mary Cecilia Crosby | Dentist | 1245 Nw 119th Street, North Miami, FL 33167 | 2006-06-20 |
| 1669998605 | Whitney Victoria Drayton | Pharmacist | 6200 Nw 7th Ave, Miami, FL 33167 | 2017-08-22 |
| Find all providers in zip 33167 | ||||
| Taxonomy Code | 1223G0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | General Practice |
| A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
| Notes: Source: Academy of General Dentistry |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003423922 | Aurora Dental Group, P.a | Dentist | 6176 Sw 8 Street, Miami, FL 33144 | 2020-09-24 |
| 1063029122 | Steven Gross | Dentist | 2021 Ne 210th St, Miami, FL 33179-1629 | 2020-09-23 |
| 1912516626 | Mustafa Alameri | Dentist | 117 Sw 10th St Apt 2006, Miami, FL 33130-3689 | 2020-07-28 |
| 1043828973 | Laura Cabrera Dmd Pa | Dentist | 138 Ne 2nd Ave Ste 200, Miami, FL 33132-2509 | 2020-07-16 |
| 1700404613 | Sandra Diaz Dmd Pa | Dentist | 8500 W Flagler St Ste 202b, Miami, FL 33144-2044 | 2020-07-07 |
| 1821610395 | Klsirage LLC | Dentist | 8688 Sw 72 St, Miami, FL 33143 | 2020-05-07 |
| 1023638749 | Joel O Figueredo Dds Pa | Dentist | 9000 Sw 137th Ave Ste 205, Miami, FL 33186-1436 | 2020-04-22 |
| 1740816644 | Yinet Garcia De Castro | Dentist | 4300 Sw 97th Pl, Miami, FL 33165-5127 | 2020-03-23 |
| 1972139889 | Pino Dental Pa | Dentist | 20161 Sw 127th Ave, Miami, FL 33177-5117 | 2020-03-23 |
| 1235773466 | Blue Dental Studio Inc | Dentist | 9251 W Flagler St Ste B107, Miami, FL 33174-2410 | 2019-10-31 |
| 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.