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Dr. Pablo Johnny Fonseca , DDS

Dentist - General Practice • Miami, FL

Active NPI 1821023136 Individual Practitioner Male Practitioner
Practice location in NPPES

40 Sw 13th St Ste 103
Miami, FL 331304340

Call 3052229899 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

40 Sw 13th St Ste 103

Miami, FL 331304340

Telephone 3052229899

What Public CMS Data Show

Dentist - General Practice: NPPES taxonomy is a reported classification, not proof of board certification.

Open Payments general payments, program year 2024

All general payments: $211.12 across 4 records.

By nature of payment

  • Food and Beverage: $211.12 across 4 records.

Reporting-company totals

  • Envista Holdings Corporation: $211.12 across 4 records.

A reported payment does not necessarily mean the financial relationship is improper and is not a measure of care quality. Clinicians can review and dispute these records.

See the full table

Source: Calculated by T-MedInfo from CMS Open Payments general-payment records for program year 2024 (published June 30, 2026).

Guide: How to read an Open Payments record

NPI first issued

2006

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, “Does your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Compared with the same specialty in Miami and Florida

508 active clinicians are listed under Dentist - General Practice with a practice address in Miami, FL (7,118 in Florida).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Miami

0% of these 508 clinicians have the CMS telehealth indicator.

0% of these 508 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Open Payments (2024), CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo · Report an error.

Pharma & Medical Device Financial Disclosures

Payments and other transfers of value that drug and medical device companies reported to CMS Open Payments

Open Payments · Program Year 2024
Disclosure Year:

Program year 2024 (payments made January 1 – December 31, 2024): fewer than 11 records totaling $211.12.

Manufacturer Payment Nature Product Type Amount ($)
Envista Holdings Corporation
Food and Beverage
In-kind items and services
TF General $75.00
Envista Holdings Corporation
Food and Beverage
In-kind items and services
ENDODONTICS General $50.35
Envista Holdings Corporation
Food and Beverage
In-kind items and services
KAVO OP300 General $45.77
Envista Holdings Corporation
Food and Beverage
In-kind items and services
MAXCEM ELITE General $40.00

Source: CMS Open Payments, program year 2024, released June 30, 2026.

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2020-08-03
Dentist - General Practice Primary Specialty

NUCC Taxonomy Code: 1223G0001X

License # reported to NPPES FL DN0011973

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.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Florida Department of Health Medical Quality Assurance.
Look Up on State Board Site

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid ID
073522100 (FL)

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

8 Historical Events
📍
Updated Practice Location August 03, 2020

Registered at 40 SW 13TH ST STE 103, MIAMI, FL 331304340 (Tel: 3052229899)

📍
Updated Business Mailing Address August 03, 2020

Registered at 40 SW 13TH ST STE 103, MIAMI, FL 331304340 (Tel: 3052229899)

✅
NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

📍
Practice Location (Initial Record) July 08, 2007

Registered at 4560 NW 7TH ST, MIAMI, FL 331262307 (Tel: 3054448863)

📍
Business Mailing Address (Initial Record) July 08, 2007

Registered at 4560 NW 7TH ST, MIAMI, FL 331262307 (Tel: 3054448863)

👤
Provider Name / Credentials (Initial Record) July 08, 2007

Recorded as PABLO FONSECA, DDS

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Dentist (license number reported to NPPES: FL DN0011973)

🟢
Initial NPI Registration & Enumeration July 12, 2006

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1821023136
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 12, 2006
Last Update: August 03, 2020
Sole Proprietor: Yes

Other Dentist - General Practices in Miami

All Dentist - General Practices in Miami

Mailing Address

40 Sw 13th St Ste 103

Miami, FL 331304340

Phone: 3052229899

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.