Individual provider Active NPI

Gabriela Aracelis Vegas, DDS

  • Pediatric Dentistry
  • Cape Coral, FL
National Provider Identifier
1407273881
Registry record updated Aug 28, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
License
21826 Issued in FL
Practice address
1508 SE 12TH Ter
Cape Coral, FL 33990-3617
Phone
(239) 322-5222
NPI assigned
Mar 24, 2014
Last updated
Aug 28, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 28, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X DN 21826 FL
Pediatric Dentistry 1223P0221X 21826 FL Primary

Addresses

Primary practice location

1508 SE 12TH Ter
Cape Coral, FL 33990-3617

Mailing address

1500 NW 128TH Dr.
Apt. 101
Sunrise, FL 33323
Phone (954) 213-3056

Other practice location 1

3872 Tamiami Trl Ste De
Port Charlotte, FL 33952-8463
Phone (941) 391-8090

Other practice location 2

9510 Bonita Beach Rd SE Ste 101
Bonita Springs, FL 34135-4699
Phone (239) 333-2990

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
DN 21826FLMDDentist
21826FLMDPediatric Dentist

Practice roles

OrganizationSpecialtyStatusNew patients
Pediatric Dentistry of Cape Coral Pediatric Dentistry PastSince Oct 6, 2024 Accepting new patients
Pediatric Dentistry of Bonita Pediatric Dentistry Past Accepting new patients
Pediatric Dentistry of Port Charlotte Pediatric Dentistry Past Accepting new patients

Organizations & group practices 3

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": "1395619200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1756339200000",
    "number": "1407273881",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1500 NW 128TH DR.",
            "address_2": "APT. 101",
            "city": "SUNRISE",
            "state": "FL",
            "postal_code": "33323",
            "telephone_number": "954-213-3056"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1508 SE 12TH TER",
            "city": "CAPE CORAL",
            "state": "FL",
            "postal_code": "339903617",
            "telephone_number": "239-322-5222"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3872 Tamiami Trl Ste De",
            "address_purpose": "LOCATION",
            "city": "Port Charlotte",
            "state": "FL",
            "postal_code": "339528463",
            "country_code": "US",
            "telephone_number": "941-391-8090",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "9510 Bonita Beach Rd SE Ste 101",
            "address_purpose": "LOCATION",
            "city": "Bonita Springs",
            "state": "FL",
            "postal_code": "341354699",
            "country_code": "US",
            "telephone_number": "239-333-2990",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VEGAS",
        "first_name": "GABRIELA",
        "middle_name": "ARACELIS",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-03-24",
        "last_updated": "2025-08-28",
        "certification_date": "2025-08-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "FL",
            "license": "DN 21826",
            "primary": false
        },
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "FL",
            "license": "21826",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cape Coral, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2025; 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.