Organization Active NPI

GBG Dental Solutions PLLC

  • Dentist
  • Celebration, FL
National Provider Identifier
1154900801
Registry record updated Apr 7, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
Legal business name
GBG DENTAL SOLUTIONS PLLC
Practice address
2940 Mallory Cir Ste 101
Celebration, FL 34747-1818
Phone
(407) 566-2222
NPI assigned
Apr 7, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 7, 2021

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

Authorized official

Name
Gregory Kaplan, DDS
Title
Member
Phone
(310) 503-7129

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193200000X MULTI-SPECIALTY GROUP 122300000X Primary

Addresses

Primary practice location

2940 Mallory Cir Ste 101
Celebration, FL 34747-1818

Mailing address

3932 Wilshire Blvd Ste 102
Los Angeles, CA 90010-3334

Other practice location 1

741 Front St Ste 310
Celebration, FL 34747-4993
Phone (407) 566-2222

Electronic endpoints 2

TypeEndpointUseAffiliation
CONNECT URL celebration.carestack.com
CONNECT URL celebration.carestack.com

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
10D2340069GBG Dental Solutions, PLLC2940 Mallory Circle Suite 101, Kissimmee, FL 34747Certificate of waiverMar 10, 2028
10D2340158GBG Dental Solutions, PLLC741 Front Street Suite 310, Celebration, FL 34747Certificate of waiverMar 11, 2028

National Provider Directory

National Provider Directory

Locations

3932 Wilshire Blvd
Ste 102
Los Angeles, CA 90010

Practitioners & affiliated clinicians

Practitioners 5

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

NPI Registry JSON

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

{
    "created_epoch": "1617753600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1617753600000",
    "number": "1154900801",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3932 WILSHIRE BLVD STE 102",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900103334"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2940 MALLORY CIR STE 101",
            "city": "CELEBRATION",
            "state": "FL",
            "postal_code": "347471818",
            "telephone_number": "407-566-2222"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "741 Front St Ste 310",
            "address_purpose": "LOCATION",
            "city": "Celebration",
            "state": "FL",
            "postal_code": "347474993",
            "country_code": "US",
            "telephone_number": "407-566-2222",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "GBG DENTAL SOLUTIONS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-04-07",
        "last_updated": "2021-04-07",
        "certification_date": "2021-04-07",
        "status": "A",
        "authorized_official_last_name": "KAPLAN",
        "authorized_official_first_name": "GREGORY",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "310-503-7129",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "celebration.carestack.com",
            "affiliation": "N",
            "endpointDescription": "PMS",
            "address_1": "2940 Mallory Cir Ste 101",
            "city": "Celebration",
            "state": "FL",
            "country_code": "US",
            "postal_code": "347471818",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "celebration.carestack.com",
            "affiliation": "N",
            "endpointDescription": "PMS",
            "address_1": "741 Front St Ste 310",
            "city": "Celebration",
            "state": "FL",
            "country_code": "US",
            "postal_code": "347474993",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Celebration, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.