Active NPI
Gina Gisselle Asturrizaga, DDS
- Dentist
- Royal Palm Beach, FL
National Provider Identifier
1114555364
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- D27344
- Practice address
- 11151 Southern Blvd Ste 110
Royal Palm Beach, FL 33411-4255 - Phone
- (561) 246-6371
- NPI assigned
- Mar 31, 2020
- Sex
- Female
- Sole proprietor
- Yes
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 | D27344 | FL | Primary |
Addresses
Primary practice location
11151 Southern Blvd Ste 110
Royal Palm Beach, FL 33411-4255
Mailing address
7701 SW 157TH CT
Miami, FL 33193-2964
Phone (786) 610-8281
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | Miami |
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 |
|---|---|---|---|---|
| I20221028002796 | FL | Order and Referring Only - Dentist | 1850768169 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| D27344 | FL | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dentists of Royal Palm, PA | Dentist | Current | Accepting new patients |
Locations
11151 Southern Blvd
Ste 110
Royal Palm Beach, FL 33411
Phone (561) 246-6371
Networks
- Freedom Health HMO Network
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.
-
- Dentist
- Royal Palm Beach, FL
- NPI 1114585577
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1585612800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1660089600000",
"number": "1114555364",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7701 SW 157TH CT",
"city": "MIAMI",
"state": "FL",
"postal_code": "331932964",
"telephone_number": "786-610-8281"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11151 SOUTHERN BLVD STE 110",
"city": "ROYAL PALM BEACH",
"state": "FL",
"postal_code": "334114255",
"telephone_number": "561-246-6371"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ASTURRIZAGA",
"first_name": "GINA",
"middle_name": "GISSELLE",
"credential": "DDS",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-03-31",
"last_updated": "2022-08-10",
"certification_date": "2022-08-10",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Dentist",
"state": "FL",
"license": "D27344",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "Miami",
"affiliation": "N",
"address_1": "7000 SW 62nd Ave Ste 401",
"city": "South Miami",
"state": "FL",
"country_code": "US",
"postal_code": "331434721",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Royal Palm Beach, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2022; 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.