Individual provider Active NPI

Julia German

  • General Practice Dentistry
  • Lady Lake, FL
National Provider Identifier
1508977273
Registry record updated Aug 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DN16342 Issued in FL
Practice address
809 Highway 466 Ste C-102
Lady Lake, FL 32159-3909
Phone
(352) 336-8478
Fax
(352) 775-1727
NPI assigned
Aug 31, 2006
Last updated
Aug 5, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 5, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X DN16342 FL Primary

Addresses

Primary practice location

809 Highway 466 Ste C-102
Lady Lake, FL 32159-3909

Mailing address

809 Highway 466 Ste C-102
Lady Lake, FL 32159-3909
Phone (352) 336-8478

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)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
German Family Dentistry LLC CurrentSince Aug 11, 2024 Accepting new patients
352-Dentist, PA CurrentSince Aug 11, 2024 Accepting new patients
Coast Florida P.a. PastSince Jun 22, 2021 Accepting new patients
Coast Florida P.a. Past Accepting new patients

Locations

809 Highway 466
Ste C102
Lady Lake, FL 32159
Phone (352) 336-8478

Networks

  • Freedom Health HMO Network

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1722816000000",
    "number": "1508977273",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "809 HIGHWAY 466 STE C-102",
            "city": "LADY LAKE",
            "state": "FL",
            "postal_code": "321593909",
            "telephone_number": "352-336-8478",
            "fax_number": "352-775-1727"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "809 HIGHWAY 466 STE C-102",
            "city": "LADY LAKE",
            "state": "FL",
            "postal_code": "321593909",
            "telephone_number": "352-336-8478",
            "fax_number": "352-775-1727"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GERMAN",
        "first_name": "JULIA",
        "name_prefix": "Dr.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-31",
        "last_updated": "2024-08-05",
        "certification_date": "2024-08-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "FL",
            "license": "DN16342",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lady Lake, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2024; 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.