Individual provider Active NPI

Ramon E Hernandez, DMD

  • Endodontics
  • Cocoa Beach, FL
National Provider Identifier
1295849719
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
EndodonticsTaxonomy code 1223E0200X
License
DN0014452 Issued in FL
Practice address
1980 N Atlantic Ave
905
Cocoa Beach, FL 32931-5213
Phone
(321) 784-2236
Fax
(321) 799-9721
NPI assigned
Aug 19, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Endodontics 1223E0200X DN0014452 FL Primary

Addresses

Primary practice location

1980 N Atlantic Ave
905
Cocoa Beach, FL 32931-5213

Mailing address

1980 N Atlantic Ave
905
Cocoa Beach, FL 32931-5213
Phone (321) 784-2236

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20151109001961 FL Order and Referring Only - Oral SurgeryPractitioner - Oral Surgery 2163732843

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DN0014452FLMDEndodontist

NPI Registry JSON

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

{
    "created_epoch": "1155945600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1295849719",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1980 N ATLANTIC AVE",
            "address_2": "905",
            "city": "COCOA BEACH",
            "state": "FL",
            "postal_code": "329315213",
            "telephone_number": "321-784-2236",
            "fax_number": "321-799-9721"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1980 N ATLANTIC AVE",
            "address_2": "905",
            "city": "COCOA BEACH",
            "state": "FL",
            "postal_code": "329315213",
            "telephone_number": "321-784-2236",
            "fax_number": "321-799-9721"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HERNANDEZ",
        "first_name": "RAMON",
        "middle_name": "E",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-19",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223E0200X",
            "taxonomy_group": "",
            "desc": "Dentist, Endodontics",
            "state": "FL",
            "license": "DN0014452",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cocoa Beach, FL

Sources for this page

Verify at the official NPI Registry.