Active NPI
Gabriella Renee Hurov, DDS
- Dentist
- Palm Beach Gardens, FL
National Provider Identifier
1043887110
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 25840
- Practice address
- 5380 Donald Ross Rd Ste 100
Palm Beach Gardens, FL 33418-7282 - Phone
- (402) 943-8832
- NPI assigned
- Jun 8, 2021
- Sex
- Female
- Sole proprietor
- No
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 | 25840 | FL | Primary |
Addresses
Primary practice location
5380 Donald Ross Rd Ste 100
Palm Beach Gardens, FL 33418-7282
Mailing address
10240 Cottonwood Creek Blvd
Blair, NE 68008-6635
Phone (402) 943-8832
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20210813000095 | FL | Order and Referring Only - Dentist | 1153725155 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 25840 | FL | MD | Physical Therapist |
Networks
- Freedom Health HMO Network
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1623110400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1623110400000",
"number": "1043887110",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10240 COTTONWOOD CREEK BLVD",
"city": "BLAIR",
"state": "NE",
"postal_code": "680086635",
"telephone_number": "402-943-8832"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5380 DONALD ROSS RD STE 100",
"city": "PALM BEACH GARDENS",
"state": "FL",
"postal_code": "334187282",
"telephone_number": "402-943-8832"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HUROV",
"first_name": "GABRIELLA",
"middle_name": "RENEE",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-06-08",
"last_updated": "2021-06-08",
"certification_date": "2021-05-27",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "FL",
"license": "25840",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Palm Beach Gardens, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.