Maria Portilla, D.M.D.

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

License

DN12192 Issued in FL

Practice address

8150 Royal Palm Blvd Ste 104
Coral Springs, FL 33065-5704

Phone

(954) 344-0445

Fax

(954) 344-2840

NPI assigned

Nov 6, 2006

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

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Meier Orthodontics Coral Springs PLLC

  • Pediatric Dentistry
  • Coral Springs, FL
  • NPI 1174045934
  NPD (past)
• Miller Pediatric Dentistry Coral Springs PA

  • Pediatric Dentistry
  • Coral Springs, FL
  • NPI 1447854237
  NPD (past)

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

{
    "created_epoch": "1162771200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1235218686",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8150 ROYAL PALM BLVD STE 104",
            "city": "CORAL SPRINGS",
            "state": "FL",
            "postal_code": "330655704",
            "telephone_number": "954-344-0445",
            "fax_number": "954-344-2840"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8150 ROYAL PALM BLVD STE 104",
            "city": "CORAL SPRINGS",
            "state": "FL",
            "postal_code": "330655704",
            "telephone_number": "954-344-0445",
            "fax_number": "954-344-2840"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PORTILLA",
        "first_name": "MARIA",
        "credential": "D.M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-06",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "FL",
            "license": "DN12192",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jason L Popick
• Katelyn Sarah Popick
• Yael Porat
• Nancy Porras, RNFA
• Carla Porter, APRN
• Portland Assisted Living Facility
• Argentina Portocarrero
• David Porudominsky, MD
• Rony Porudominsky, MD
• Aaron L Porzio-Diaz, APRN

• Pediatric Dentistry in Coral Springs, FL
• Providers in Coral Springs, FL by specialty
• Pediatric Dentistry in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.