Active NPI
Anna Gombar, D.M.D.
- Dentist
- Palm Beach Gardens, FL
National Provider Identifier
1467715706
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- DN21549
- Practice address
- 9121 N Military TRL Ste 209
Palm Beach Gardens, FL 33410-5988 - Phone
- (561) 694-8380
- NPI assigned
- Jun 21, 2012
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | DS039114 | PA | |
| Dentist | 122300000X | DN21549 | FL | Primary |
Addresses
Primary practice location
9121 N Military TRL Ste 209
Palm Beach Gardens, FL 33410-5988
Mailing address
21921 Town Place Dr
Boca Raton, FL 33433-3714
Phone (267) 241-5473
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 |
|---|---|---|---|
| DN21549 | FL | MD | Dentist |
| DS039114 | PA | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dental Asset Management | General Practice | Past | Accepting new patients |
| Dentist Day Off | 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 and National Provider Directory roles.
-
- Dentist
- Palm Beach Gardens, FL
- NPI 1205394343
-
dba Palm Beach Dental Group
- General Practice Dentistry
- Palm Beach Gardens, FL
- NPI 1225642572
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1340236800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1551916800000",
"number": "1467715706",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "21921 TOWN PLACE DR",
"city": "BOCA RATON",
"state": "FL",
"postal_code": "334333714",
"telephone_number": "267-241-5473"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9121 N MILITARY TRL STE 209",
"city": "PALM BEACH GARDENS",
"state": "FL",
"postal_code": "334105988",
"telephone_number": "561-694-8380"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GOMBAR",
"first_name": "ANNA",
"credential": "D.M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-06-21",
"last_updated": "2019-03-07",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "PA",
"license": "DS039114",
"primary": false
},
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "FL",
"license": "DN21549",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Palm Beach Gardens, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.