Individual provider Active NPI

Roberto Gil, DMD

  • Dentist
  • Winter Garden, FL
National Provider Identifier
1508089004
Registry record updated Apr 18, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
DN 17806 Issued in FL
Practice address
1291 Winter Garden Vineland Rd Ste 140
Winter Garden, FL 34787-6705
Phone
(407) 614-5955
NPI assigned
Apr 11, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 18, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X DN 17806 FL Primary

Addresses

Primary practice location

1291 Winter Garden Vineland Rd Ste 140
Winter Garden, FL 34787-6705

Mailing address

1291 Winter Garden Vineland Rd Ste 140
Winter Garden, FL 34787-6705
Phone (407) 614-5955

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.
Opted out of Medicare
Yes, effective Nov 18, 2020 through Nov 18, 2026

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DN 17806FLMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Winter Garden Smiles, PL Past Accepting new patients

Networks

  • Freedom Health HMO Network

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1176249600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1366243200000",
    "number": "1508089004",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1291 WINTER GARDEN VINELAND RD STE 140",
            "city": "WINTER GARDEN",
            "state": "FL",
            "postal_code": "347876705",
            "telephone_number": "407-614-5955"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1291 WINTER GARDEN VINELAND RD STE 140",
            "city": "WINTER GARDEN",
            "state": "FL",
            "postal_code": "347876705",
            "telephone_number": "407-614-5955"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GIL",
        "first_name": "ROBERTO",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-04-11",
        "last_updated": "2013-04-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "FL",
            "license": "DN 17806",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Winter Garden, FL

Sources for this page

Verify at the official NPI Registry.