Individual provider Active NPI

Diana Del Pilar Hejeile, D.M.D

  • Dentist
  • Lake Worth, FL
National Provider Identifier
1467715037
Registry record updated Jun 19, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
DN19587 Issued in FL
Practice address
1300 N Federal Hwy
Suite 1
Lake Worth, FL 33460-1984
Phone
(561) 540-1040
NPI assigned
Jun 19, 2012
Last updated
Jun 19, 2012By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 19, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X DN19587 FL Primary

Addresses

Primary practice location

1300 N Federal Hwy
Suite 1
Lake Worth, FL 33460-1984

Mailing address

1300 N Federal Hwy
Suite 1
Lake Worth, FL 33460-1984
Phone (561) 540-1040

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
DN19587FLMDDentist

NPI Registry JSON

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

{
    "created_epoch": "1340064000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1340064000000",
    "number": "1467715037",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1300 N FEDERAL HWY",
            "address_2": "SUITE 1",
            "city": "LAKE WORTH",
            "state": "FL",
            "postal_code": "334601984",
            "telephone_number": "561-540-1040"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1300 N FEDERAL HWY",
            "address_2": "SUITE 1",
            "city": "LAKE WORTH",
            "state": "FL",
            "postal_code": "334601984",
            "telephone_number": "561-540-1040"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HEJEILE",
        "first_name": "DIANA",
        "middle_name": "DEL PILAR",
        "credential": "D.M.D",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-06-19",
        "last_updated": "2012-06-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "FL",
            "license": "DN19587",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lake Worth, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 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.