Individual provider Active NPI

Nilda M. Arceo, D.D.S.

  • Periodontics
  • North Miami Beach, FL
National Provider Identifier
1013077916
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
PeriodonticsTaxonomy code 1223P0300X
License
DN 14040 Issued in FL
Practice address
1190 NE 163Rd St
Suite 324
North Miami Beach, FL 33162-4521
Phone
(305) 945-8826
Fax
(305) 945-8839
NPI assigned
Dec 11, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Periodontics 1223P0300X DN 14040 FL Primary

Addresses

Primary practice location

1190 NE 163Rd St
Suite 324
North Miami Beach, FL 33162-4521

Mailing address

1190 NE 163Rd St
Suite 324
North Miami Beach, FL 33162-4521
Phone (305) 945-8826

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20171109000263 FL Order and Referring Only - DentistPractitioner - Dentist 9739445628

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DN 14040FLMDPeriodontist

NPI Registry JSON

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

{
    "created_epoch": "1165795200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1013077916",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1190 NE 163RD ST",
            "address_2": "SUITE 324",
            "city": "NORTH MIAMI BEACH",
            "state": "FL",
            "postal_code": "331624521",
            "telephone_number": "305-945-8826",
            "fax_number": "305-945-8839"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1190 NE 163RD ST",
            "address_2": "SUITE 324",
            "city": "NORTH MIAMI BEACH",
            "state": "FL",
            "postal_code": "331624521",
            "telephone_number": "305-945-8826",
            "fax_number": "305-945-8839"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ARCEO",
        "first_name": "NILDA",
        "middle_name": "M.",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-11",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0300X",
            "taxonomy_group": "",
            "desc": "Dentist, Periodontics",
            "state": "FL",
            "license": "DN 14040",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Miami Beach, FL

Sources for this page

Verify at the official NPI Registry.