Active NPI
Marcela D Patterson, DMD
- General Practice Dentistry
- Delray Beach, FL
National Provider Identifier
1407474547
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- DN25040
- Practice address
- 5130 Linton Blvd Ste D2
Delray Beach, FL 33484-6595 - Phone
- (561) 496-2222
- Fax
- (561) 496-6688
- NPI assigned
- Jul 6, 2020
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | DN25040 | FL | Primary |
Addresses
Primary practice location
5130 Linton Blvd Ste D2
Delray Beach, FL 33484-6595
Mailing address
5130 Linton Blvd Ste D2
Delray Beach, FL 33484-6595
Phone (561) 496-2222
Other names 1
- Marcela Didonato
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 |
|---|---|---|---|
| DN25040 | FL | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dentamarc PA | Current | Accepting new patients |
Locations
5130 Linton Blvd
Ste D2
Delray Beach, FL 33484
Phone (561) 496-2222
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.
-
- Dental Clinic/Center
- Delray Beach, FL
- NPI 1124765466
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1593993600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1677542400000",
"number": "1407474547",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5130 LINTON BLVD STE D2",
"city": "DELRAY BEACH",
"state": "FL",
"postal_code": "334846595",
"telephone_number": "561-496-2222",
"fax_number": "561-496-6688"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5130 LINTON BLVD STE D2",
"city": "DELRAY BEACH",
"state": "FL",
"postal_code": "334846595",
"telephone_number": "561-496-2222",
"fax_number": "561-496-6688"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PATTERSON",
"first_name": "MARCELA",
"middle_name": "D",
"credential": "DMD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-07-06",
"last_updated": "2023-02-28",
"certification_date": "2023-02-28",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "FL",
"license": "DN25040",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "MARCELA",
"last_name": "DIDONATO",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Delray Beach, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.