Carlos Aurelio Piedra, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DN 18743 Issued in FL

Practice address

3909 W Newberry Rd Ste G
Gainesville, FL 32607-2367

Phone

(352) 371-9831

Fax

(352) 336-8563

NPI assigned

Jul 15, 2009

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1247616000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1325116800000",
    "number": "1457581274",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2315 NW 52ND PL",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "326056245",
            "telephone_number": "352-378-1700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3909 W NEWBERRY RD STE G",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "326072367",
            "telephone_number": "352-371-9831",
            "fax_number": "352-336-8563"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PIEDRA",
        "first_name": "CARLOS",
        "middle_name": "AURELIO",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-07-15",
        "last_updated": "2011-12-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "FL",
            "license": "DN 18743",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brian E Pickens, MD
• N Earle Pickens, MD
• Jessica M Pickering, ATC
• Jessica Hagans Pickett, ARNP
• Jason Eugene Pickren, PSY.D.
• Pamela Pieper, MSN, PNP
• Karen Sue Pierce-Munroe
• Letitia Pierce
• Martha Jean Pierce, ARNP
• Connie Pierre-Antoine, PARENT EDUCATOR ADHD

• General Practice Dentistry in Gainesville, FL
• Providers in Gainesville, FL by specialty
• General Practice Dentistry in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 29, 2011; 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.