Aura Dental Family Practice LLC

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

AURA DENTAL FAMILY PRACTICE LLC

Practice address

3129 Pangea Cir
Melbourne, FL 32940-8822

Phone

(347) 485-3317

NPI assigned

Feb 4, 2025

Organization subpart

No

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

Authorized official

Name

Dr. Gladysbel NMN Jimenez, MDNPI 1700436615

Title

Dentist

Phone

(347) 485-3317

Specialties & licenses 1

Addresses

Other names 1

• AURA DENTAL FAMILY PRACTICE LLC Former legal business name

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Gladysbel Jimenez

  • Dentist
  • Palm Bay, FL
  • NPI 1700436615
  NPD Authorized official

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

{
    "created_epoch": "1738627200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1741737600000",
    "number": "1093529604",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "610 BARNES BLVD",
            "city": "ROCKLEDGE",
            "state": "FL",
            "postal_code": "329555210",
            "telephone_number": "347-485-3317"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3129 PANGEA CIR",
            "city": "MELBOURNE",
            "state": "FL",
            "postal_code": "329408822",
            "telephone_number": "347-485-3317"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AURA DENTAL FAMILY PRACTICE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-02-04",
        "last_updated": "2025-03-12",
        "certification_date": "2025-03-12",
        "status": "A",
        "authorized_official_last_name": "JIMENEZ",
        "authorized_official_first_name": "GLADYSBEL",
        "authorized_official_middle_name": "NMN",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "347-485-3317",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "AURA DENTAL FAMILY PRACTICE LLC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

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• Kristen E Austin-Harris, APRN
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• Dental Clinic/Center in Melbourne, FL
• Providers in Melbourne, FL by specialty
• Dental Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2025; 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.