Individual provider Active NPI

Barbara Irasema Llanes, DMD

  • General Practice Dentistry
  • Coral Gables, FL
National Provider Identifier
1154619153
Registry record updated Feb 7, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DN19454 Issued in FL
Practice address
747 Ponce de Leon Blvd Ste 609
Coral Gables, FL 33134-2074
Phone
(305) 448-7217
NPI assigned
Jul 12, 2011
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 7, 2022

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 DN19454 FL Primary

Addresses

Primary practice location

747 Ponce de Leon Blvd Ste 609
Coral Gables, FL 33134-2074

Mailing address

7305 SW 142ND CT
Miami, FL 33183-2961
Phone (305) 335-9615

Other practice location 1

8500 SW 92nd St Ste 203
Miami, FL 33156-7379
Phone (305) 271-5321

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
I20150521001645 FL Order and Referring Only - Oral SurgeryPractitioner - Oral Surgery 8820318405

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Maribel Lopez DDS PA General Practice Past Accepting new patients

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": "1310428800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1644192000000",
    "number": "1154619153",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7305 SW 142ND CT",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331832961",
            "telephone_number": "305-335-9615"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "747 PONCE DE LEON BLVD STE 609",
            "city": "CORAL GABLES",
            "state": "FL",
            "postal_code": "331342074",
            "telephone_number": "305-448-7217"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8500 SW 92nd St Ste 203",
            "address_purpose": "LOCATION",
            "city": "Miami",
            "state": "FL",
            "postal_code": "331567379",
            "country_code": "US",
            "telephone_number": "305-271-5321",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LLANES",
        "first_name": "BARBARA",
        "middle_name": "IRASEMA",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-07-12",
        "last_updated": "2022-02-07",
        "certification_date": "2022-02-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "FL",
            "license": "DN19454",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Coral Gables, FL

Sources for this page

Verify at the official NPI Registry.