Active NPI
Gloria Maria Barredo, DMD
- Dentist
- Jupiter, FL
National Provider Identifier
1033260757
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- DN15262
- Practice address
- 345 Jupiter Lakes Blvd Ste 304
Jupiter, FL 33458-7100 - Phone
- (561) 741-8008
- Fax
- (561) 747-4294
- NPI assigned
- Jan 16, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | DN15262 | FL | Primary |
Addresses
Primary practice location
345 Jupiter Lakes Blvd Ste 304
Jupiter, FL 33458-7100
Mailing address
345 Jupiter Lakes Blvd.
Suite 304
Jupiter, FL 33410
Phone (561) 401-3949
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
| License | State | Type | Specialty |
|---|---|---|---|
| DN15262 | FL | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Garine Prosthodontics PA | Dentist | Past | 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.
-
- Dentist
- Jupiter, FL
- NPI 1073909420
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1168905600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1248048000000",
"number": "1033260757",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "345 JUPITER LAKES BLVD.",
"address_2": "SUITE 304",
"city": "JUPITER",
"state": "FL",
"postal_code": "33410",
"telephone_number": "561-401-3949"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "345 JUPITER LAKES BLVD STE 304",
"city": "JUPITER",
"state": "FL",
"postal_code": "334587100",
"telephone_number": "561-741-8008",
"fax_number": "561-747-4294"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BARREDO",
"first_name": "GLORIA",
"middle_name": "MARIA",
"name_prefix": "Dr.",
"credential": "DMD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-01-16",
"last_updated": "2009-07-20",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "FL",
"license": "DN15262",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Jupiter, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.