Individual provider Active NPI

Juleini M Meneses, DMD

  • General Practice Dentistry
  • Tampa, FL
National Provider Identifier
1306406772
Registry record updated Nov 24, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DN24825 Issued in FL
Practice address
2526 E Bearss Ave
Tampa, FL 33613-5069
Phone
(813) 553-7120
Fax
(813) 553-7121
NPI assigned
Jun 18, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 24, 2020

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 DN24825 FL Primary
Dentist 122300000X DD5113 NM

Addresses

Primary practice location

2526 E Bearss Ave
Tampa, FL 33613-5069

Mailing address

6465 W 24TH Ave Apt 307
Hialeah, FL 33016-6993
Phone (786) 623-8065

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL Tampa

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
DD5113NMMDDentist
DN24825FLMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Vipcare Dental PLLC PastSince Nov 29, 2020 Accepting new patients

Networks

  • Freedom Health HMO Network

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1560816000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1606176000000",
    "number": "1306406772",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6465 W 24TH AVE APT 307",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330166993",
            "telephone_number": "786-623-8065"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2526 E BEARSS AVE",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336135069",
            "telephone_number": "813-553-7120",
            "fax_number": "813-553-7121"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MENESES",
        "first_name": "JULEINI",
        "middle_name": "M",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-06-18",
        "last_updated": "2020-11-24",
        "certification_date": "2020-11-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "FL",
            "license": "DN24825",
            "primary": true
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NM",
            "license": "DD5113",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "Tampa",
            "affiliation": "N",
            "address_1": "2526 E Bearss Ave",
            "city": "Tampa",
            "state": "FL",
            "country_code": "US",
            "postal_code": "336135069",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Tampa, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 24, 2020; 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.