Marcos Diaz, D.D.S.

Primary specialty

Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X

License

DN0013293 Issued in FL

Practice address

2239 N Commerce Pkwy
Suite #2
Weston, FL 33326-3249

Phone

(954) 659-9990

NPI assigned

Aug 20, 2006

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Opted out of Medicare

Yes, effective Mar 1, 2014 through Mar 1, 2028

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Advanced Aesthetic Center for Oral and Maxillofacial Surgery, Inc.

  • Oral and Maxillofacial Surgery (Dentist)
  • Weston, FL
  • NPI 1225145261
  NPD (past) Authorized official
• Michael a. Pikos, D.D.S., P.a.

  • Oral and Maxillofacial Surgery (Dentist)
  • Palm Harbor, FL
  • NPI 1669578100
  NPD (past)
• Michael a. Pikos, D.D.S., P.a.

  • Oral and Maxillofacial Surgery (Dentist)
  • Trinity, FL
  • NPI 1942456025
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1156032000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1003921099",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2239 N COMMERCE PKWY",
            "address_2": "SUITE #2",
            "city": "WESTON",
            "state": "FL",
            "postal_code": "333263249",
            "telephone_number": "954-659-9990"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2239 N COMMERCE PKWY",
            "address_2": "SUITE #2",
            "city": "WESTON",
            "state": "FL",
            "postal_code": "333263249",
            "telephone_number": "954-659-9990"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIAZ",
        "first_name": "MARCOS",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-20",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "FL",
            "license": "DN0013293",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Arianne Carolina Diaz Dominguez
• Yadileidys Diaz Figueroa
• Carolin Diaz Herrera
• Biancha Marie Diaz
• Daniel S Diaz, DDS
• Maria L Diaz, M.D.
• Samara L Diaz, RMFT
• Sophia Maria Diaz, PA-C
• Gabrielle Dibartolomeo
• Peter Diep, DO

• Oral and Maxillofacial Surgery (Dentist) in Weston, FL
• Providers in Weston, FL by specialty
• Oral and Maxillofacial Surgery (Dentist) in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.