MODERNA SMILE OF SUNSET CORP (NPI# 1699366641) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1699366641 |
| Entity Type | Organization |
| Organization Name | MODERNA SMILE OF SUNSET CORP |
| Practice Address | 10728 Sw 72nd St Miami FL 33173-2702 |
| Practice Telephone | 3055967155 |
| Mailing Address | 5246 Sw 8th St Coral Gables FL 33134-2375 |
| Certification Date | 2021-02-02 |
| Enumeration Date | 2021-02-02 |
| Last Update Date | 2021-02-02 |
| Authorized Official Telephone | 3055967155 |
| Authorized Official Credential | DMD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | Taxonomy Group | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|---|
| Y | 261QD0000X | Clinic/Center Specialization: Dental | Ambulatory Health Care Facilities |
| Street Address | 10728 SW 72ND ST |
| City | MIAMI |
| State | FL |
| Zip Code | 33173-2702 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346333085 | Sunset Dental Corp · Dental American Group | Dentist · General Practice | 10728 Sw 72 St, Miami, FL 33173-2702 | 2006-10-02 |
| 1356456479 | Holiday Cvs LLC · Navarro Discount Pharmacy #10702 | Pharmacy · Community/Retail Pharmacy | 10720 Sw 72nd St, Miami, FL 33173-2702 | 2006-08-20 |
| 1659968048 | Lizbet Aquino | Pharmacist | 10720 Sw 72nd St, Miami, FL 33173-2702 | 2020-12-31 |
| 1629673652 | Miguel Juan Torres | Pharmacist | 10720 Sw 72nd St, Miami, FL 33173-2702 | 2020-11-30 |
| 1861021479 | Kathleen Marie Falgons | Pharmacist | 10720 Sw 72nd St, Miami, FL 33173-2702 | 2020-04-06 |
| 1215264361 | Navarro Medical Clinics, LLC · E-Z Weight Loss Centers | Clinic/Center | 10720 Sw 72nd St, Miami, FL 33173-2702 | 2009-11-11 |
| 1750549374 | Samoho Healthcare Express Sunset LLC · Medigo | Emergency Medicine | 10720 Sw 72nd St, Miami, FL 33173-2702 | 2008-05-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740871813 | Aaron Justis Dos Santos | Physical Therapy Assistant | 9415 Sunset Drive Suite 111, Miami, FL 33173 | 2021-02-01 |
| 1598374613 | Derrick George Dyer | Behavior Analyst | 11025 Sw 84t St. Cottage 8, Miami, FL 33173 | 2020-07-24 |
| 1306405477 | Erich Soto Del Valle | Dentist | 7125 Sw 111th Ct, Miami, FL 33173 | 2019-06-11 |
| 1356819247 | Berenice E De La Mota | Dietitian, Registered | 7500 Sw 87 Avenue # 200, Miami, FL 33173 | 2018-11-08 |
| 1386146850 | Yordanka Arango | Assistant Behavior Analyst | 11415 Sw 59 Terr, Miami, FL 33173 | 2018-03-01 |
| 1851806632 | Juliana Orozco | Acupuncturist | 9240 Sunset Dr Ste 229, Miami, FL 33173 | 2017-12-03 |
| 1447760749 | Irfan Saeed | Nurse Practitioner · Family | 8401 Sw 107 Avenue, Apt 335e, Miami, FL 33173 | 2017-10-02 |
| 1619491339 | Malciel Bonilla · Quality Living Home Care | Assisted Living Facility | 9830 Sw 80 Dr, Miami, FL 33173 | 2017-08-03 |
| 1144744467 | Yoislan Daniel Daniel | Behavior Analyst | 10261 Sw 72 St Suite C104, Miami, FL 33173 | 2017-07-28 |
| 1083137061 | Berkis Serrat Esnobol | Behavior Technician | 8961 Sw 72nd St Apt 121, Miami, FL 33173 | 2017-07-20 |
| Find all providers in zip 33173 | ||||
| Taxonomy Code | 261QD0000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Dental |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295334126 | Friedman Dental Group Miami, Pllc | 1717 N Bayshore Dr Ste 219, Miami, FL 33132-1196 | 2020-10-21 | |
| 1952916306 | Simmons Services LLC | 2500 Sw 107th Ave Ste 45, Miami, FL 33165-2492 | 2020-09-12 | |
| 1912511361 | Brickell Dentistry Pa | 444 Brickell Ave Ste 48, Miami, FL 33131-2403 | 2020-09-03 | |
| 1700498466 | Tamar Justin | 261 Nw 149th St, Miami, FL 33168-4215 | 2020-08-23 | |
| 1912517871 | Smiling Dental Studio Corp | 825 Sw 87th Ave Ste 2g, Miami, FL 33174-3253 | 2020-08-05 | |
| 1578172763 | Flavio A Kottar Dds, P.a. | 3683 S Miami Ave Ste 305, Miami, FL 33133-4253 | 2020-07-24 | |
| 1083237903 | Juan Diego Cardenas Dds Inc. | 7775 Sw 87th Ave Ste 112, Miami, FL 33173-2536 | 2020-05-27 | |
| 1275181315 | Floridental Clinic | 9240 Sw 72nd St Ste 115, Miami, FL 33173-3262 | 2019-09-02 | |
| 1902453756 | Smile Mission, Pllc | 9900 Sw 168th St, Miami, FL 33157-4378 | 2019-08-26 | |
| 1548728223 | I & S Dental Services, Inc. | 8950 Sw 74th Ct Ste 1202, Miami, FL 33156-3170 | 2019-03-12 | |
| Find all providers in MIAMI | ||||
| City | MIAMI |
| Zip Code | 33173 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104417153 | Moderna Smile of Galloway Corp | Clinic/Center · Dental | 8718 Sw 72nd St, Miami, FL 33173-3512 | 2021-02-02 |
| 1639760689 | Moderna Smile of Kendall Corp | Clinic/Center · Dental | 13632 N Kendall Dr, Miami, FL 33186-1567 | 2021-02-02 |
| 1225438070 | Sunset Smile Dental Corp | Health Maintenance Organization | 8606a W Sunset Blvd, West Hollywood, CA 90069-2302 | 2014-08-29 |
| 1528336344 | Smile Shoppes Jeffrey D Rhodes Dds Ms Pllc · Smile Shoppe Pediatric Dentistry Springdale | Dentist · Pediatric Dentistry | 7058 W Sunset Ave, Suite 9b, Springdale, AR 72762-0680 | 2011-12-07 |
| 1144609454 | Charming Smile Corp · Charming Smile Dental | Dentist | 115 Christopher Columbus Dr, Suite 200, Jersey City, NJ 07302-5526 | 2015-05-20 |
| 1962683532 | The Smile Center Inc · The Smile Center | Dentist | 2376 Sunset Dr, Suite B, Grenada, MS 38901-2827 | 2007-11-23 |
| 1508000514 | Sunset Foot Clinic Corp | Podiatrist · Foot & Ankle Surgery | 2711 W Sunset Blvd, Los Angeles, CA 90026-2101 | 2009-04-22 |
| 1255773016 | You Smile Dental | Dentist · General Practice | 893 Sunset Dr, Hollister, CA 95023-5601 | 2013-07-22 |
| 1275998312 | Smile Embassy, Pllc. | Exclusive Provider Organization | 517 Sunset Ave, Dallas, TX 75208-4702 | 2015-12-16 |
| 1932658200 | Smile Studio of Sc LLC | Clinic/Center · Dental | 4881 Sunset Blvd, Lexington, SC 29072-9152 | 2016-09-28 |
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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.