Individual provider Active NPI

Annette Vilmarie Middelhof, DMD

  • General Practice Dentistry
  • Comerio, PR
National Provider Identifier
1295839645
Registry record updated Sep 25, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DN 16190 Issued in FL
Practice address
37 Carr 778 Apt 4
Comerio, PR 00782-2922
Phone
(787) 875-3566
NPI assigned
Sep 7, 2006
Last updated
Sep 25, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 25, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X DN 16190 FL Primary
General Practice Dentistry 1223G0001X 2520 PR

Addresses

Primary practice location

37 Carr 778 Apt 4
Comerio, PR 00782-2922

Mailing address

8200 W Sunrise Blvd Ste A1
Plantation, FL 33322-5426
Phone (954) 336-8478

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PR
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.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20251031003055 PR Order and Referring Only - DentistPractitioner - Dentist 4082103775

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2520PRMDClinical Psychologist
DN 16190FLMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Springs Dental of Plantation General Practice CurrentSince Sep 28, 2025 Accepting new patients

Locations

8200 W Sunrise Blvd
Ste A1
Plantation, FL 33322
Phone (954) 336-8478

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": "1157587200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1758758400000",
    "number": "1295839645",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8200 W SUNRISE BLVD STE A1",
            "city": "PLANTATION",
            "state": "FL",
            "postal_code": "333225426",
            "telephone_number": "954-336-8478"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "37 CARR 778 APT 4",
            "city": "COMERIO",
            "state": "PR",
            "postal_code": "007822922",
            "telephone_number": "787-875-3566"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MIDDELHOF",
        "first_name": "ANNETTE",
        "middle_name": "VILMARIE",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-09-07",
        "last_updated": "2025-09-25",
        "certification_date": "2025-09-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "FL",
            "license": "DN 16190",
            "primary": true
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "PR",
            "license": "2520",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Comerio, PR

Sources for this page

Verify at the official NPI Registry.