Individual provider Active NPI

Glenda Lorena Arrabal Morejon, DMD

  • Dentist
  • Miami, FL
National Provider Identifier
1437645207
Registry record updated Nov 8, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
DN23642 Issued in FL
Practice address
12750 NW 17TH St Unit 212
Miami, FL 33182-1422
Phone
(786) 499-5348
NPI assigned
Jul 5, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 8, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X DN23642 FL Primary

Addresses

Primary practice location

12750 NW 17TH St Unit 212
Miami, FL 33182-1422

Mailing address

12526 NW 11TH TRL
Miami, FL 33182-2468
Phone (786) 499-5348

Other practice location 1

1391 Commercial Way
Spring Hill, FL 34606-4521
Phone (727) 495-1329

Other practice location 2

3908 Carroll Cypress Ct
Tampa, FL 33614-2038
Phone (786) 499-5348

Other practice location 3

9682 US Highway 19
Port Richey, FL 34668
Phone (727) 842-2422

Other practice location 4

19086 NE 29th Ave
Aventura, FL 33180-2805
Phone (786) 499-5348

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20251226002133 FL Order and Referring Only - DentistPractitioner - Dentist 9436645611

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DN23642FLMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
A&R Family Dental Practice, LLC CurrentSince Feb 23, 2025 Accepting new patients

Locations

12750 NW 17th St
Unit 212
Miami, FL 33182
Phone (786) 499-5348

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": "1530748800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1731024000000",
    "number": "1437645207",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12526 NW 11TH TRL",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331822468",
            "telephone_number": "786-499-5348"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12750 NW 17TH ST UNIT 212",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331821422",
            "telephone_number": "786-499-5348"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1391 Commercial Way",
            "address_purpose": "LOCATION",
            "city": "Spring Hill",
            "state": "FL",
            "postal_code": "346064521",
            "country_code": "US",
            "telephone_number": "727-495-1329",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3908 Carroll Cypress Ct",
            "address_purpose": "LOCATION",
            "city": "Tampa",
            "state": "FL",
            "postal_code": "336142038",
            "country_code": "US",
            "telephone_number": "786-499-5348",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "9682 US Highway 19",
            "address_purpose": "LOCATION",
            "city": "Port Richey",
            "state": "FL",
            "postal_code": "34668",
            "country_code": "US",
            "telephone_number": "727-842-2422",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "19086 NE 29th Ave",
            "address_purpose": "LOCATION",
            "city": "Aventura",
            "state": "FL",
            "postal_code": "331802805",
            "country_code": "US",
            "telephone_number": "786-499-5348",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ARRABAL MOREJON",
        "first_name": "GLENDA",
        "middle_name": "LORENA",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-07-05",
        "last_updated": "2024-11-08",
        "certification_date": "2024-11-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "FL",
            "license": "DN23642",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

Verify at the official NPI Registry.