Individual provider Active NPI

Maria Hernandez, DDS

  • Dentist
  • Bonita Springs, FL
National Provider Identifier
1023559341
Registry record updated Mar 20, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
DN13333 Issued in FL
Practice address
27821 S Tamiami TRL
Suite 1
Bonita Springs, FL 34134-4238
Phone
(239) 947-6900
Fax
(239) 947-5242
NPI assigned
Mar 20, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 20, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X DN13333 FL Primary

Addresses

Primary practice location

27821 S Tamiami TRL
Suite 1
Bonita Springs, FL 34134-4238

Mailing address

27821 S Tamiami TRL
Suite 1
Bonita Springs, FL 34134-4238
Phone (239) 947-6900

Other identifiers 1

IdentifierTypeStateIssuer
DN13333OtherFLDENTAL LICENSE

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
DN13333FLMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Florida Dental Professionals, P.a. PastSince Jun 11, 2023 Accepting new patients

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": "1489968000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1489968000000",
    "number": "1023559341",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27821 S TAMIAMI TRL",
            "address_2": "SUITE 1",
            "city": "BONITA SPRINGS",
            "state": "FL",
            "postal_code": "341344238",
            "telephone_number": "239-947-6900",
            "fax_number": "239-947-5242"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27821 S TAMIAMI TRL",
            "address_2": "SUITE 1",
            "city": "BONITA SPRINGS",
            "state": "FL",
            "postal_code": "341344238",
            "telephone_number": "239-947-6900",
            "fax_number": "239-947-5242"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HERNANDEZ",
        "first_name": "MARIA",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-03-20",
        "last_updated": "2017-03-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "FL",
            "license": "DN13333",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DENTAL LICENSE",
            "identifier": "DN13333",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bonita Springs, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2017; 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.