Active NPI
Paula Corinne De Freitas, DDS
- Dentist
- Hollywood, FL
National Provider Identifier
1356959399
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- DN26298
- Practice address
- 1869 N 66TH Ave
Hollywood, FL 33024-4017 - Phone
- (954) 983-3992
- NPI assigned
- Jul 15, 2020
- Last updated
- Jul 5, 2022
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | DN26298 | FL | Primary |
| Student in an Organized Health Care Education/Training Program | 390200000X | DRPM2088 | FL |
Addresses
Primary practice location
1869 N 66TH Ave
Hollywood, FL 33024-4017
Mailing address
471 Ives Dairy Rd Apt 306
Miami, FL 33179-5423
Phone (651) 432-7095
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
| License | State | Type | Specialty |
|---|---|---|---|
| DN26298 | FL | MD | Dentist |
| DRPM2088 | FL | MD | Student in an Organized Health Care Education/Training Program |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1594771200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1656979200000",
"number": "1356959399",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "471 IVES DAIRY RD APT 306",
"city": "MIAMI",
"state": "FL",
"postal_code": "331795423",
"telephone_number": "651-432-7095"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1869 N 66TH AVE",
"city": "HOLLYWOOD",
"state": "FL",
"postal_code": "330244017",
"telephone_number": "954-983-3992"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DE FREITAS",
"first_name": "PAULA",
"middle_name": "CORINNE",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-07-15",
"last_updated": "2022-07-05",
"certification_date": "2022-07-05",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "FL",
"license": "DN26298",
"primary": true
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "FL",
"license": "DRPM2088",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Hollywood, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 5, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.