DR. JUAN CARLOS LAZO DMD
NPI 1053705624
Dentist - Oral and Maxillofacial Surgery in Miami, FL
About Dr. Juan Carlos Lazo Dmd NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. JUAN CARLOS LAZO DMD (NPI 1053705624) is an individual oral and maxillofacial surgery provider in Miami, Florida, licensed in Florida (DN23704) and active in the NPI registry since March 2015. He is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Dr. Juan Carlos Lazo Dmd is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Juan Lazo reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Miami, FL 33176
- Reassigned Medicare billing, Florida enrollment
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 33136 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
MIAMI, FL 33136
MIAMI, FL 33136
MIAMI, FL 33136
MIAMI, FL 33136
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Juan Lazo's NPI number?
The NPI number for Juan Lazo is 1053705624. It was assigned to this individual provider in the NPPES registry on March 22, 2015.
Where is Juan Lazo located?
Juan Lazo practices at 1611 NW 12th Ave, Miami, FL 33136. The listed phone number is (305) 585-5326.
What is Juan Lazo's specialty?
The primary specialty registered for this NPI is Dentist, specializing in Oral and Maxillofacial Surgery, with taxonomy code 1223S0112X.
Is Juan Lazo enrolled in Medicare?
Yes. Juan Lazo is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Juan Lazo's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Juan Lazo reassigns Medicare benefits to Jcl Oral Surgery Inc. (Miami, FL). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Juan Lazo's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Juan Lazo accept?
Health plans from Ambetter Health, Ambetter of Alabama, Anthem Blue Cross and Blue Shield, BEST Life and Blue Cross and Blue Shield of Montana and 10 other insurers list Juan Lazo as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Juan Lazo was last updated on January 27, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Dr. Juan Carlos Lazo, DMD · NPI 1053705624
Oral and Maxillofacial Surgery provider in Miami, Florida. Individual provider, active in the CMS NPPES registry since March 22, 2015.
## Identity
- **NPI:** 1053705624 (Entity type: Individual)
- **Enumerated:** March 22, 2015
- **Primary specialty:** Dentist - Oral and Maxillofacial Surgery · taxonomy 1223S0112X
- **State license:** DN23704 (Florida)
- **Sole proprietor:** No
## Practice location
- **Address:** 1611 NW 12TH AVE, Miami, FL 33136-1005
- **Phone:** (305) 585-5326
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health
- **Bills Medicare through:** Jcl Oral Surgery Inc. (NPI 1609585066, Miami, FL), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** January 27, 2022
---
Source: [NPI Profile](https://npiprofile.com/npi/1053705624) · Data from the CMS NPPES public registry.