Individual provider Active NPI

Hector L Bibilonia Jr.

  • Dentist
  • Hialeah, FL
National Provider Identifier
1457875221
Registry record updated Jul 3, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
DN29310 Issued in FL
Practice address
11423 NW 88TH Ave
Hialeah, FL 33018-1961
Phone
(786) 461-0493
NPI assigned
Aug 2, 2017
Last updated
Jul 3, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 3, 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 DN29310 FL Primary

Addresses

Primary practice location

11423 NW 88TH Ave
Hialeah, FL 33018-1961

Mailing address

2500 NW 79TH Ave Ste 116
Doral, FL 33122-1075
Phone (305) 591-7898

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
DN29310FLMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Heartwell Home Health Care Corp. PastSince Jul 1, 2022 Accepting new patients
Heartwell Home Health Care Corp. Behavior Analyst PastSince Jul 1, 2022 Accepting new patients

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": "1501632000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1719964800000",
    "number": "1457875221",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2500 NW 79TH AVE STE 116",
            "city": "DORAL",
            "state": "FL",
            "postal_code": "331221075",
            "telephone_number": "305-591-7898"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11423 NW 88TH AVE",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330181961",
            "telephone_number": "786-461-0493"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BIBILONIA",
        "first_name": "HECTOR",
        "middle_name": "L",
        "name_suffix": "Jr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-08-02",
        "last_updated": "2024-07-03",
        "certification_date": "2024-07-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "FL",
            "license": "DN29310",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hialeah, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 3, 2024; 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.