Individual provider Active NPI

Carlos Escobar, DMD

  • General Practice Dentistry
  • North Palm Beach, FL
National Provider Identifier
1013196914
Registry record updated Oct 26, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DN16490 Issued in FL
Practice address
784 US Highway 1 Ste 10
North Palm Beach, FL 33408-4411
Phone
(561) 622-0301
Fax
(561) 622-4625
NPI assigned
Oct 26, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 26, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X DN16490 FL Primary

Addresses

Primary practice location

784 US Highway 1 Ste 10
North Palm Beach, FL 33408-4411

Mailing address

784 US Highway 1 Ste 10
North Palm Beach, FL 33408-4411
Phone (561) 622-0301

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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
I20160513000036 PA Order and Referring Only - Oral SurgeryPractitioner - Oral Surgery 6204125347

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DN16490FLMDGeneral Practice Dentistry

Networks

  • FL HMO D-SNP
  • FL HMO C-SNP
  • Freedom Health HMO Network

NPI Registry JSON

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

{
    "created_epoch": "1193356800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1193356800000",
    "number": "1013196914",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "784 US HIGHWAY 1 STE 10",
            "city": "NORTH PALM BEACH",
            "state": "FL",
            "postal_code": "334084411",
            "telephone_number": "561-622-0301",
            "fax_number": "561-622-4625"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "784 US HIGHWAY 1 STE 10",
            "city": "NORTH PALM BEACH",
            "state": "FL",
            "postal_code": "334084411",
            "telephone_number": "561-622-0301",
            "fax_number": "561-622-4625"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ESCOBAR",
        "first_name": "CARLOS",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-10-26",
        "last_updated": "2007-10-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "FL",
            "license": "DN16490",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Palm Beach, FL

Sources for this page

Verify at the official NPI Registry.