Individual provider Active NPI

Chantal C Reyes Lira, RDH

  • Dental Hygienist
  • Marathon, FL
National Provider Identifier
1457215832
Registry record updated Dec 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental HygienistTaxonomy code 124Q00000X
License
DH34093 Issued in FL
Practice address
5800 Overseas Hwy Ste 38
Marathon, FL 33050-2744
Phone
(305) 743-7111
NPI assigned
Dec 10, 2025
Last updated
Dec 10, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 10, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Hygienist 124Q00000X DH34093 FL Primary

Addresses

Primary practice location

5800 Overseas Hwy Ste 38
Marathon, FL 33050-2744

Mailing address

5800 Overseas Hwy Ste 38
Marathon, FL 33050-2744
Phone (305) 743-7111

Other names 1

  • Mrs. Chantal Cristina Goncalves Other name

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
DH34093FLMDDental Hygienist

Practice roles

OrganizationSpecialtyStatusNew patients
Florida Keys Area Health Education Center, Inc. CurrentSince Dec 14, 2025 Accepting new patients
Florida Keys Area Health Education Center, Inc. PastSince Dec 14, 2025 Accepting new patients

Locations

5800 Overseas Hwy
Ste 38
Marathon, FL 33050
Phone (305) 743-7111

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": "1765324800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1765324800000",
    "number": "1457215832",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5800 OVERSEAS HWY STE 38",
            "city": "MARATHON",
            "state": "FL",
            "postal_code": "330502744",
            "telephone_number": "305-743-7111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5800 OVERSEAS HWY STE 38",
            "city": "MARATHON",
            "state": "FL",
            "postal_code": "330502744",
            "telephone_number": "305-743-7111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REYES LIRA",
        "first_name": "CHANTAL",
        "middle_name": "C",
        "credential": "RDH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-12-10",
        "last_updated": "2025-12-10",
        "certification_date": "2025-12-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "124Q00000X",
            "taxonomy_group": "",
            "desc": "Dental Hygienist",
            "state": "FL",
            "license": "DH34093",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CHANTAL",
            "last_name": "GONCALVES",
            "middle_name": "CRISTINA",
            "prefix": "MRS.",
            "credential": "RDH",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Marathon, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 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.