Individual provider Active NPI

Haissel Beriosca Iglesias, DDS

  • General Practice Dentistry
  • Coral Springs, FL
National Provider Identifier
1033879580
Registry record updated Apr 29, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DN26581 Issued in FL
Practice address
8890 Royal Palm Blvd
Coral Springs, FL 33065-5803
Phone
(954) 341-0500
Fax
(954) 775-0547
NPI assigned
Dec 26, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 29, 2024

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 DN26581 FL Primary

Addresses

Primary practice location

8890 Royal Palm Blvd
Coral Springs, FL 33065-5803

Mailing address

1963 NW 136TH Ave Apt 643
Sunrise, FL 33323-5362
Phone (202) 674-9121

Other names 1

  • Dr. Haissel Beriosca Ramirez de Oleo Former name

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
DN26581FLMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Walter K Kulick DMD PA CurrentSince May 7, 2024 Accepting new patients
Iglesias Dentistry, LLC CurrentSince Apr 28, 2024 Accepting new patients
Sierra Dental Inc. General Practice PastSince Jan 1, 2022 Accepting new patients

Locations

8890 Royal Palm Blvd
Coral Springs, FL 33065
Phone (954) 341-0500

Organizations & group practices 3

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": "1640476800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1714348800000",
    "number": "1033879580",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1963 NW 136TH AVE APT 643",
            "city": "SUNRISE",
            "state": "FL",
            "postal_code": "333235362",
            "telephone_number": "202-674-9121"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8890 ROYAL PALM BLVD",
            "city": "CORAL SPRINGS",
            "state": "FL",
            "postal_code": "330655803",
            "telephone_number": "954-341-0500",
            "fax_number": "954-775-0547"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "IGLESIAS",
        "first_name": "HAISSEL",
        "middle_name": "BERIOSCA",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-12-26",
        "last_updated": "2024-04-29",
        "certification_date": "2024-04-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "FL",
            "license": "DN26581",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "HAISSEL",
            "last_name": "RAMIREZ DE OLEO",
            "middle_name": "BERIOSCA",
            "prefix": "DR.",
            "credential": "DDS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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 Apr 29, 2024; 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.