Individual provider Active NPI

Paulo G. M. Nogueira, D.D.S.

  • Endodontics
  • Gainesville, FL
National Provider Identifier
1386895811
Registry record updated Oct 2, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
EndodonticsTaxonomy code 1223E0200X
License
DN 686 Issued in FL
Practice address
1600 SW Archer Rd
D4-4
Gainesville, FL 32610-3003
Phone
(352) 273-5801
Fax
(352) 392-3070
NPI assigned
Oct 2, 2008
Last updated
Oct 2, 2008By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 2, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Endodontics 1223E0200X DN 686 FL Primary

Addresses

Primary practice location

1600 SW Archer Rd
D4-4
Gainesville, FL 32610-3003

Mailing address

PO Box 100405
Gainesville, FL 32610-0405
Phone (352) 273-5436

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in HI
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
I20160203001073 HI Order and Referring Only - Other (Physician)Practitioner - Other (Physician) 2567766041

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DN 686FLMDEndodontist

Practice roles

OrganizationSpecialtyStatusNew patients
Endo Arte LLC Endodontics Current Accepting new patients
University of Florida Past Accepting new patients

Organizations & group practices 2

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": "1222905600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1222905600000",
    "number": "1386895811",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 100405",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "326100405",
            "telephone_number": "352-273-5436",
            "fax_number": "352-392-3070"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1600 SW ARCHER RD",
            "address_2": "D4-4",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "326103003",
            "telephone_number": "352-273-5801",
            "fax_number": "352-392-3070"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NOGUEIRA",
        "first_name": "PAULO",
        "middle_name": "G. M.",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-10-02",
        "last_updated": "2008-10-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223E0200X",
            "taxonomy_group": "",
            "desc": "Dentist, Endodontics",
            "state": "FL",
            "license": "DN 686",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gainesville, FL

Sources for this page

Verify at the official NPI Registry.