Individual provider Active NPI

Maria Alejandra Bernard Flores

  • General Practice Dentistry
  • Palm Springs, FL
National Provider Identifier
1265972038
Registry record updated Mar 10, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DN22918 Issued in FL
Practice address
2459 S Congress Ave Ste 206
Palm Springs, FL 33406-7616
Phone
(561) 469-2945
NPI assigned
Feb 27, 2017
Last updated
Mar 10, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 10, 2023

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 DN22918 FL Primary

Addresses

Primary practice location

2459 S Congress Ave Ste 206
Palm Springs, FL 33406-7616

Mailing address

13590 Jonquil PL
Wellington, FL 33414-8556

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
DN22918FLMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Carol Dental Designs, LLC PastSince Mar 12, 2023 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": "1488153600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678406400000",
    "number": "1265972038",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13590 JONQUIL PL",
            "city": "WELLINGTON",
            "state": "FL",
            "postal_code": "334148556"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2459 S CONGRESS AVE STE 206",
            "city": "PALM SPRINGS",
            "state": "FL",
            "postal_code": "334067616",
            "telephone_number": "561-469-2945"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BERNARD FLORES",
        "first_name": "MARIA",
        "middle_name": "ALEJANDRA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-02-27",
        "last_updated": "2023-03-10",
        "certification_date": "2023-03-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "FL",
            "license": "DN22918",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Palm Springs, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2023; 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.