Individual provider Active NPI

Galia Leilani Medrano Ramirez, DMD

  • Dentist
  • Ormond Beach, FL
National Provider Identifier
1235797143
Registry record updated Oct 11, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
DN24108 Issued in FL
Practice address
1274 W. Granada Blvd
Ormond Beach, FL 32174
Phone
(386) 244-9838
NPI assigned
Jun 5, 2019
Last updated
Oct 11, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 11, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X DN24108 FL Primary

Addresses

Primary practice location

1274 W. Granada Blvd
Ormond Beach, FL 32174

Mailing address

1275 W Granada Blvd
Ormond Beach, FL 32174-8259
Phone (386) 244-9838

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL Office

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
DN24108FLMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Cooper Dental Group CurrentSince Oct 15, 2023 Accepting new patients

Locations

1275 W Granada Blvd
Ormond Beach, FL 32174
Phone (386) 200-6453

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": "1559692800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1570752000000",
    "number": "1235797143",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1275 W GRANADA BLVD",
            "city": "ORMOND BEACH",
            "state": "FL",
            "postal_code": "321748259",
            "telephone_number": "386-244-9838"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1274 W. GRANADA BLVD",
            "city": "ORMOND BEACH",
            "state": "FL",
            "postal_code": "32174",
            "telephone_number": "386-244-9838"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MEDRANO RAMIREZ",
        "first_name": "GALIA",
        "middle_name": "LEILANI",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-06-05",
        "last_updated": "2019-10-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "FL",
            "license": "DN24108",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "Office",
            "affiliation": "N",
            "address_1": "1274 W. Granada Blvd",
            "city": "Ormond Beach",
            "state": "FL",
            "country_code": "US",
            "postal_code": "32174",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Ormond Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2019; 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.