Active NPI
Elizabeth Marie De Aguirre, DDS
- Dentist
- Coral Gables, FL
National Provider Identifier
1467434746
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- DN0015008
- Practice address
- 806 S Douglas Rd
150
Coral Gables, FL 33134-3157 - Phone
- (305) 446-2226
- Fax
- (305) 446-8458
- NPI assigned
- Nov 14, 2005
- Last updated
- May 18, 2017
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | DN0015008 | FL | Primary |
Addresses
Primary practice location
806 S Douglas Rd
150
Coral Gables, FL 33134-3157
Mailing address
2750 W 68TH St
Suite 108
Hialeah, FL 33016-5446
Phone (305) 826-3255
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1225316888 | Other | FL | NPI FOR GABLES OFFICE |
| 001666800 | Medicaid | FL | |
| 1003893363 | Other | NPI FOR EXPERT SMILES OFFICE |
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
| License | State | Type | Specialty |
|---|---|---|---|
| DN0015008 | FL | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Expert Smiles Center | Dentist | Past | 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.
-
- Dentist
- Coral Gables, FL
- NPI 1225316888
-
- Dentist
- Hialeah, FL
- NPI 1003893363
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1131926400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1495065600000",
"number": "1467434746",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2750 W 68TH ST",
"address_2": "SUITE 108",
"city": "HIALEAH",
"state": "FL",
"postal_code": "330165446",
"telephone_number": "305-826-3255",
"fax_number": "305-826-3898"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "806 S DOUGLAS RD",
"address_2": "150",
"city": "CORAL GABLES",
"state": "FL",
"postal_code": "331343157",
"telephone_number": "305-446-2226",
"fax_number": "305-446-8458"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DE AGUIRRE",
"first_name": "ELIZABETH",
"middle_name": "MARIE",
"credential": "DDS",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2005-11-14",
"last_updated": "2017-05-18",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "FL",
"license": "DN0015008",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NPI FOR GABLES OFFICE",
"identifier": "1225316888",
"state": "FL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "001666800",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NPI FOR EXPERT SMILES OFFICE",
"identifier": "1003893363",
"state": null
}
],
"endpoints": [],
"other_names": []
}Other providers in Coral Gables, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.