Mica Borgueta, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

26325 Issued in FL

Practice address

5265 Park Blvd N Ste 100
Pinellas Park, FL 33781-3451

Phone

(727) 564-9819

NPI assigned

Mar 18, 2020

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1584489600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1689033600000",
    "number": "1215563556",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8013 THOROUGHBRED LOOP",
            "city": "LARGO",
            "state": "FL",
            "postal_code": "337731672"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5265 PARK BLVD N STE 100",
            "city": "PINELLAS PARK",
            "state": "FL",
            "postal_code": "337813451",
            "telephone_number": "727-564-9819"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BORGUETA",
        "first_name": "MICA",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-03-18",
        "last_updated": "2023-07-11",
        "certification_date": "2023-07-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "FL",
            "license": "26325",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Marko Bojkovic Bojkovic
• Christine Boman
• Alice Willow Booth
• Jill Bopp
• Marisa Marie Borgia, RN, IBCLC
• Jose Cruz Borja
• Cherina Bornscheuer, RMHCI, M.A.
• Lucinda A Bosley, C.N.M, A.R.N.P.
• Stephanie Bottoni, LCSW
• Daniel Bouchelle, RBT

• General Practice Dentistry in Pinellas Park, FL
• Providers in Pinellas Park, 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 Jul 11, 2023; 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.