Individual provider Active NPI

Aurelio Antonio Bula, D.M.D.

  • Pediatric Dentistry
  • Coral Springs, FL
National Provider Identifier
1023304391
Registry record updated Jan 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
License
DN21763 Issued in FL
Practice address
5850 Coral Ridge Dr Ste 101B
Coral Springs, FL 33076-3379
Phone
(954) 323-8788
Fax
(954) 323-8788
NPI assigned
Jun 24, 2011
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 24, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Dentistry 1223P0221X DN21763 FL Primary

Addresses

Primary practice location

5850 Coral Ridge Dr Ste 101B
Coral Springs, FL 33076-3379

Mailing address

5850 Coral Ridge Dr Ste 101B
Coral Springs, FL 33076-3379
Phone (954) 323-8788

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
DN21763FLMDPediatric Dentist

Practice roles

OrganizationSpecialtyStatusNew patients
Mighty Children'S Dentistry Pediatric Dentistry CurrentSince Jan 26, 2025 Accepting new patients

Locations

5850 Coral Ridge Dr
Ste 101B
Coral Springs, FL 33076
Phone (786) 301-9853

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1308873600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1737676800000",
    "number": "1023304391",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5850 CORAL RIDGE DR STE 101B",
            "city": "CORAL SPRINGS",
            "state": "FL",
            "postal_code": "330763379",
            "telephone_number": "954-323-8788",
            "fax_number": "954-688-3414"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5850 CORAL RIDGE DR STE 101B",
            "city": "CORAL SPRINGS",
            "state": "FL",
            "postal_code": "330763379",
            "telephone_number": "954-323-8788",
            "fax_number": "954-323-8788"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BULA",
        "first_name": "AURELIO",
        "middle_name": "ANTONIO",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-06-24",
        "last_updated": "2025-01-24",
        "certification_date": "2025-01-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "FL",
            "license": "DN21763",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Coral Springs, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.