Ennio Anibal Deleon, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DN 19052 Issued in FL

Practice address

7110 Southgate Blvd
Margate, FL 33068-1660

Phone

(954) 724-8949

Fax

(954) 724-1185

NPI assigned

Jun 22, 2010

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• TLC Dental - North Lauderdale, LLC

  • General Practice Dentistry
  • North Lauderdale, FL
  • NPI 1649302894
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1277164800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1277164800000",
    "number": "1073834206",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4307 CARAMBOLA CIR S",
            "city": "COCONUT CREEK",
            "state": "FL",
            "postal_code": "330662548",
            "telephone_number": "561-251-3562"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7110 SOUTHGATE BLVD",
            "city": "MARGATE",
            "state": "FL",
            "postal_code": "330681660",
            "telephone_number": "954-724-8949",
            "fax_number": "954-724-1185"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DELEON",
        "first_name": "ENNIO",
        "middle_name": "ANIBAL",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-06-22",
        "last_updated": "2010-06-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "FL",
            "license": "DN 19052",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Paloma De Leon Jimenez
• Debra Ann De Oliveira
• Natasha Decal, PHARMD
• Germain Decoste
• Melissa Delatorre
• Lianna Delgado Alvarez
• Patricia Delgado
• Vlada Delman
• Samantha Delorimier, PA
• Delta Health Group Inc (Margate Health Care Center)

• General Practice Dentistry in Margate, FL
• Providers in Margate, FL by specialty
• General Practice Dentistry in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 2010; 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.

Verify at the official NPI Registry.