Individual provider Active NPI

Lygia Nabors, DMD

  • General Practice Dentistry
  • Fort Walton Beach, FL
National Provider Identifier
1063758803
Registry record updated Mar 24, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DN-19997 Issued in FL
Practice address
133 Beal Pkwy NW
Fort Walton Beach, FL 32548-4358
Phone
(850) 362-6898
NPI assigned
Dec 26, 2012
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 24, 2026

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 DN-19997 FL Primary

Addresses

Primary practice location

133 Beal Pkwy NW
Fort Walton Beach, FL 32548-4358

Mailing address

133 Beal Pkwy NW
Fort Walton Beach, FL 32548-4358
Phone (850) 362-6898

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160519001386 FL Order and Referring Only - Oral SurgeryPractitioner - Oral Surgery 4880983576

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DN-19997FLMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Lygia Nabors, DMD, Ms, PA General Practice Current Accepting new patients

Locations

133 Beal Pkwy NW
Fort Walton Beach, FL 32548
Phone (850) 362-6898

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": "1356480000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1774310400000",
    "number": "1063758803",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "133 BEAL PKWY NW",
            "city": "FORT WALTON BEACH",
            "state": "FL",
            "postal_code": "325484358",
            "telephone_number": "850-362-6898"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "133 BEAL PKWY NW",
            "city": "FORT WALTON BEACH",
            "state": "FL",
            "postal_code": "325484358",
            "telephone_number": "850-362-6898"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NABORS",
        "first_name": "LYGIA",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-12-26",
        "last_updated": "2026-03-24",
        "certification_date": "2026-03-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "FL",
            "license": "DN-19997",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Walton Beach, FL

Sources for this page

Verify at the official NPI Registry.