Active NPI
Gabriela Gomez, DENTAL LAB TECH
- Dental Laboratory
- Wesley Chapel, FL
National Provider Identifier
1043478860
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dental Laboratory
- License
- 11273
- Practice address
- 1242 Salt Clay CT
Wesley Chapel, FL 33544-6634 - Phone
- (813) 990-0899
- Fax
- (800) 507-2750
- NPI assigned
- May 29, 2008
- 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 |
|---|---|---|---|---|
| Dental Laboratory | 292200000X | 11273 | FL | Primary |
Addresses
Primary practice location
1242 Salt Clay CT
Wesley Chapel, FL 33544-6634
Mailing address
1242 Salt Clay CT
Wesley Chapel, FL 33544-6634
Phone (813) 453-0266
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 |
|---|---|---|---|
| 11273 | FL | MD | Psychiatry Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1212019200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1212019200000",
"number": "1043478860",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1242 SALT CLAY CT",
"city": "WESLEY CHAPEL",
"state": "FL",
"postal_code": "335446634",
"telephone_number": "813-453-0266",
"fax_number": "800-507-2750"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1242 SALT CLAY CT",
"city": "WESLEY CHAPEL",
"state": "FL",
"postal_code": "335446634",
"telephone_number": "813-990-0899",
"fax_number": "800-507-2750"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GOMEZ",
"first_name": "GABRIELA",
"credential": "DENTAL LAB TECH",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-05-29",
"last_updated": "2008-05-29",
"status": "A"
},
"taxonomies": [
{
"code": "292200000X",
"taxonomy_group": "",
"desc": "Dental Laboratory",
"state": "FL",
"license": "11273",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Wesley Chapel, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.