Active NPI
Derek Bradford Gatta, D.M.D
- Dentist
- Wellington, FL
National Provider Identifier
1477880797
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- DN 18725
- Practice address
- 137 US Highway 441 Ste 301
Wellington, FL 33414-4380 - Phone
- (561) 285-7902
- NPI assigned
- Nov 6, 2009
- Sex
- Male
- 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 | DN 18725 | FL | Primary |
Addresses
Primary practice location
137 US Highway 441 Ste 301
Wellington, FL 33414-4380
Mailing address
8 Lucas Ave
Newport, RI 02840-3918
Phone (646) 415-2800
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 |
|---|---|---|---|
| DN 18725 | FL | MD | Dentist |
Networks
- Freedom Health HMO Network
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1257465600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658361600000",
"number": "1477880797",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8 LUCAS AVE",
"city": "NEWPORT",
"state": "RI",
"postal_code": "028403918",
"telephone_number": "646-415-2800"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "137 US HIGHWAY 441 STE 301",
"city": "WELLINGTON",
"state": "FL",
"postal_code": "334144380",
"telephone_number": "561-285-7902"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GATTA",
"first_name": "DEREK",
"middle_name": "BRADFORD",
"name_prefix": "Dr.",
"credential": "D.M.D",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2009-11-06",
"last_updated": "2022-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "FL",
"license": "DN 18725",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Wellington, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.