Individual provider Active NPI

Paula Fiuza Bielak, DMD

  • General Practice Dentistry
  • Palm Bay, FL
National Provider Identifier
1457628505
Registry record updated Dec 14, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DN19535 Issued in FL
Practice address
5132 Minton Rd NW Ste I
Palm Bay, FL 32907-1110
Phone
(321) 890-3425
NPI assigned
Nov 17, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 14, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X DN19535 FL Primary

Addresses

Primary practice location

5132 Minton Rd NW Ste I
Palm Bay, FL 32907-1110

Mailing address

2944 Tuscarora CT
Melbourne, FL 32904-8098
Phone (321) 890-3425

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
DN19535FLMDGeneral Practice Dentistry

NPI Registry JSON

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

{
    "created_epoch": "1321488000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1355443200000",
    "number": "1457628505",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2944 TUSCARORA CT",
            "city": "MELBOURNE",
            "state": "FL",
            "postal_code": "329048098",
            "telephone_number": "321-890-3425"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5132 MINTON RD NW STE I",
            "city": "PALM BAY",
            "state": "FL",
            "postal_code": "329071110",
            "telephone_number": "321-890-3425"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BIELAK",
        "first_name": "PAULA",
        "middle_name": "FIUZA",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-11-17",
        "last_updated": "2012-12-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "FL",
            "license": "DN19535",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Palm Bay, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 2012; 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.