Ana Maria Bernard, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

HAD 36 Issued in FL

Practice address

1955 US 1 S
Suite 100
St Augustine, FL 32086-3708

Phone

(904) 825-5055

Fax

(904) 825-6875

NPI assigned

Aug 29, 2007

Last updated

May 29, 2014By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 2

Other names 1

• Dr. Ana-Maria Daniela Ciesielski Former name

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

Networks

• Freedom Health HMO Network

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

{
    "created_epoch": "1188345600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1401321600000",
    "number": "1114111598",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1955 US 1 S",
            "address_2": "SUITE 100",
            "city": "ST AUGUSTINE",
            "state": "FL",
            "postal_code": "320863708",
            "telephone_number": "904-825-5055",
            "fax_number": "904-825-6875"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1955 US 1 S",
            "address_2": "SUITE 100",
            "city": "ST AUGUSTINE",
            "state": "FL",
            "postal_code": "320863708",
            "telephone_number": "904-825-5055",
            "fax_number": "904-825-6875"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BERNARD",
        "first_name": "ANA",
        "middle_name": "MARIA",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-08-29",
        "last_updated": "2014-05-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "IN",
            "license": "12010989A",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "FL",
            "license": "HAD 36",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "008304900",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200871320",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ANA-MARIA",
            "last_name": "CIESIELSKI",
            "middle_name": "DANIELA",
            "prefix": "DR.",
            "credential": "DDS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Russell Berger
• Elizabeth Margaret Bergman, DPT
• Emily Marie Berman, DPT
• William D Bermeo, PAC
• Fernando Leon Bernall, A.P.
• Ashley Bernardez, DPT
• Brooks Bernstein
• Franklin Berry
• Kenneth Layne Berry, D.C.
• Bert a Tavary, D.D.S., P.a.

• General Practice Dentistry in St Augustine, FL
• Providers in St Augustine, 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 May 29, 2014; 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.