Individual provider Active NPI

Geetanjali P Parekh, B.D.S., M.D.S.

  • General Practice Dentistry
  • Pensacola, FL
National Provider Identifier
1255475976
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DN10815 Issued in FL
Practice address
611 E Burgess Rd
Pensacola, FL 32504-6388
Phone
(850) 474-8816
Fax
(850) 474-1735
NPI assigned
Feb 16, 2007
Sex
Female
Sole proprietor
Yes

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.
Opted out of Medicare
Yes, effective Apr 17, 2017 through Apr 17, 2027

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DN10815FLMDGeneral Practice Dentistry

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X DN10815 FL Primary

Addresses

NPPES NPI Registry

Primary practice location

611 E Burgess Rd
Pensacola, FL 32504-6388

Mailing address

611 E Burgess Rd
Pensacola, FL 32504-6388
Phone (850) 474-8816

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jul 8, 2007.

{
    "created_epoch": "1171584000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1255475976",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "611 E BURGESS RD",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "325046388",
            "telephone_number": "850-474-8816",
            "fax_number": "850-474-1735"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "611 E BURGESS RD",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "325046388",
            "telephone_number": "850-474-8816",
            "fax_number": "850-474-1735"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PAREKH",
        "first_name": "GEETANJALI",
        "middle_name": "P",
        "name_prefix": "Dr.",
        "credential": "B.D.S., M.D.S.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-02-16",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "FL",
            "license": "DN10815",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pensacola, FL

Sources for this page

Verify at the official NPI Registry.