Sergio M Baron Quiroga, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DN28132 Issued in FL

Practice address

1416 Stroud CT
New Port Richey, FL 34655-4276

Phone

(786) 656-6640

NPI assigned

Jul 19, 2021

Last updated

Nov 27, 2023By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Networks

• Freedom Health HMO Network

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

{
    "created_epoch": "1626652800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701043200000",
    "number": "1518530435",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1416 STROUD CT",
            "city": "NEW PORT RICHEY",
            "state": "FL",
            "postal_code": "346554276",
            "telephone_number": "786-656-6640"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1416 STROUD CT",
            "city": "NEW PORT RICHEY",
            "state": "FL",
            "postal_code": "346554276",
            "telephone_number": "786-656-6640"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BARON QUIROGA",
        "first_name": "SERGIO",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-07-19",
        "last_updated": "2023-11-27",
        "certification_date": "2023-11-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "IL",
            "license": "019.033252",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "FL",
            "license": "DN28132",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Fernando Barja III, O.D.
• Roger Barnard, CSFA
• Cathy Buono Barnes, MD
• Elbert H Barnes Jr., MD
• Joshua Drew Barnes, APRN
• Adam Barrett-Clarke
• Cathleen A Barrett, PMHNP
• W Joseph Barrett, DPM
• Jessica Marie Barrios-Ramos, M.D.
• Tristine E Barry, MS, LMHC

• General Practice Dentistry in New Port Richey, FL
• Providers in New Port Richey, 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 Nov 27, 2023; 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.