Individual provider Active NPI

Abbey Dupay Morales, D.M.D.

  • General Practice Dentistry
  • Bonita Springs, FL
National Provider Identifier
1174962393
Registry record updated May 11, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DN20189 Issued in FL
Practice address
3376 Woods Edge Cir Ste 101
Bonita Springs, FL 34134-3435
Phone
(239) 498-9666
NPI assigned
Jun 20, 2013
Last updated
May 11, 2021By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 11, 2021

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 DN20189 FL Primary

Addresses

Primary practice location

3376 Woods Edge Cir Ste 101
Bonita Springs, FL 34134-3435

Mailing address

3376 Woods Edge Cir Ste 101
Bonita Springs, FL 34134-3435
Phone (239) 910-5944

Other practice location 1

17840 Toledo Blade Blvd
Suite A
Port Charlotte, FL 33948-1015
Phone (941) 627-1863

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Paradise Dental General Practice PastSince Jul 15, 2017 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1371686400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1620691200000",
    "number": "1174962393",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3376 WOODS EDGE CIR STE 101",
            "city": "BONITA SPRINGS",
            "state": "FL",
            "postal_code": "341343435",
            "telephone_number": "239-910-5944"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3376 WOODS EDGE CIR STE 101",
            "city": "BONITA SPRINGS",
            "state": "FL",
            "postal_code": "341343435",
            "telephone_number": "239-498-9666"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "17840 Toledo Blade Blvd",
            "address_2": "Suite A",
            "address_purpose": "LOCATION",
            "city": "Port Charlotte",
            "state": "FL",
            "postal_code": "339481015",
            "country_code": "US",
            "telephone_number": "941-627-1863",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MORALES",
        "first_name": "ABBEY",
        "middle_name": "DUPAY",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-06-20",
        "last_updated": "2021-05-11",
        "certification_date": "2021-04-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "FL",
            "license": "DN20189",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bonita Springs, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 2021; 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.