Denise Gomara, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DN16346 Issued in FL

Practice address

950 County Road 17a W
Avon Park, FL 33825-2164

Phone

(863) 452-3000

Fax

(863) 452-3002

NPI assigned

Mar 12, 2007

Last updated

Dec 21, 2016By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in FL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Networks

• Freedom Health HMO Network

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.

• Central Florida Health Care Inc

  dba Central Florida Health Care - Winter Haven Center

  • Federally Qualified Health Center (FQHC)
  • Winter Haven, FL
  • NPI 1467752998

  General Practice

  NPD (past)
• Central Florida Health Care, Inc

  • Federally Qualified Health Center (FQHC)
  • Bartow, FL
  • NPI 1407615826
  NPD (past)
• Central Florida Health Care, Inc

  • Federally Qualified Health Center (FQHC)
  • Avon Park, FL
  • NPI 1831232669

  General Practice

  NPD (past)
• Central Florida Health Care, Inc.

  dba Central Florida Health Care - Dundee

  • Federally Qualified Health Center (FQHC)
  • Dundee, FL
  • NPI 1063408813
  NPD (past)
• Central Florida Health Care, Inc.

  dba Central Florida Health Care - Avon Park

  • Federally Qualified Health Center (FQHC)
  • Avon Park, FL
  • NPI 1063409290

  General Practice

  NPD (past)
• Central Florida Health Care, Inc.

  dba Central Florida Health Care-Lakeland Primary Care

  • Federally Qualified Health Center (FQHC)
  • Lakeland, FL
  • NPI 1386835064
  NPD (past)
• Central Florida Health Care, Inc.

  dba Central Florida Health Care - Dundee

  • Multi-Specialty Clinic/Center
  • Dundee, FL
  • NPI 1720247588
  NPD (past)
• Central Florida Health Care, Inc.

  dba Central Florida Health Care, Inc. - Hardee

  • Federally Qualified Health Center (FQHC)
  • Wauchula, FL
  • NPI 1790116911

  General Practice

  NPD (past)

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

{
    "created_epoch": "1173657600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1482278400000",
    "number": "1497887863",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "47 5TH ST NW",
            "city": "WINTER HAVEN",
            "state": "FL",
            "postal_code": "338814672",
            "telephone_number": "863-291-5110",
            "fax_number": "863-291-5128"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "950 COUNTY ROAD 17A W",
            "city": "AVON PARK",
            "state": "FL",
            "postal_code": "338252164",
            "telephone_number": "863-452-3000",
            "fax_number": "863-452-3002"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOMARA",
        "first_name": "DENISE",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-12",
        "last_updated": "2016-12-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "FL",
            "license": "DN16346",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "009784700",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Raisa Leslie Garcia Rodriguez
• Delores R Garcia-Chung, MD
• Betsy Garter
• Adriana Gil, CRDH
• Golden Compass Elite Express LLC
• Araceli Gomez, LCSW
• Joshua Tremaine Gordon
• Tammy J Grant, LMT
• Olivia Gray
• Samuel Clyde Gray, MA, LMHC

• General Practice Dentistry in Avon Park, FL
• Providers in Avon Park, FL by specialty
• General Practice Dentistry in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 21, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.