OrganizationActive
Main Street Orthodontics of Miami Lakes, P.A.
NPI 1154653913 · Pediatric Dentistry · Miami Lakes, FL
Main Street Orthodontics of Miami Lakes, P.A. is a Pediatric Dentistry organization in Miami Lakes, FL (NPI 1154653913).
Provider details
- NPI number
- 1154653913
- Entity type
- Organization
- Primary specialty
- Pediatric DentistryDental Providers
- Organization subpart
- No
- Authorized official
- Melvyn Gober, Ceo(305) 274-2499
Specialties & taxonomies
Dental Providers
Profile Score
Detailed profile(84/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
16 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
15600 Nw 67th Ave
Suite 110
Miami Lakes, FL 33014-2174
Phone: (305) 823-8831
Fax: (305) 823-8799
Street-level locationGet directions
Mailing address
13195 Sw 134th St
Miami, FL 33186-4461
Other names (DBA / former)
- Doing business as
- Main Street Children'S Dentistry of Miami Lakes
Registry dates
- Enumerated
- 2010-02-04
- Last updated
- 2012-07-10
Frequently asked questions
- What is Main Street Orthodontics of Miami Lakes, P.A.'s NPI number?
- Main Street Orthodontics of Miami Lakes, P.A.'s National Provider Identifier (NPI) is 1154653913, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Main Street Orthodontics of Miami Lakes, P.A.?
- Main Street Orthodontics of Miami Lakes, P.A. is classified in the NPPES registry as Pediatric Dentistry (Dental Providers).
- Where is Main Street Orthodontics of Miami Lakes, P.A. located?
- Main Street Orthodontics of Miami Lakes, P.A.'s practice location on file with NPPES is 15600 Nw 67th Ave, Miami Lakes, FL 33014-2174.
- What is Main Street Orthodontics of Miami Lakes, P.A.'s phone number?
- The practice phone number listed in the NPPES registry for Main Street Orthodontics of Miami Lakes, P.A. is (305) 823-8831.
- Who is the authorized official for Main Street Orthodontics of Miami Lakes, P.A.?
- The authorized official listed on Main Street Orthodontics of Miami Lakes, P.A.'s NPPES record is Melvyn Gober, Ceo. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Main Street Orthodontics of Miami Lakes, P.A.'s NPI active?
- Yes — Main Street Orthodontics of Miami Lakes, P.A.'s NPI (1154653913) is active in the NPPES registry as of the last update on 2012-07-10.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.