Individual provider Active NPI

Juana R Feliz, DDS

  • Dentist
  • Land O' Lakes, FL
National Provider Identifier
1538377288
Registry record updated May 6, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
DN18381 Issued in FL
Practice address
7918 Land O Lakes Blvd
#101
Land O Lakes, FL 34638-5705
Phone
(718) 877-6865
NPI assigned
May 18, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 6, 2009

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 052452-1 NY
Dentist 122300000X DN18381 FL Primary

Addresses

Primary practice location

7918 Land O Lakes Blvd
#101
Land O Lakes, FL 34638-5705

Mailing address

7918 Land O Lakes Blvd
#101
Land O Lakes, FL 34638-5705
Phone (718) 877-6865

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

LicenseStateTypeSpecialty
DN18381FLMDDentist
052452-1NYMDDentist

NPI Registry JSON

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

{
    "created_epoch": "1179446400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1241568000000",
    "number": "1538377288",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7918 LAND O LAKES BLVD",
            "address_2": "#101",
            "city": "LAND O LAKES",
            "state": "FL",
            "postal_code": "346385705",
            "telephone_number": "718-877-6865"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7918 LAND O LAKES BLVD",
            "address_2": "#101",
            "city": "LAND O LAKES",
            "state": "FL",
            "postal_code": "346385705",
            "telephone_number": "718-877-6865"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FELIZ",
        "first_name": "JUANA",
        "middle_name": "R",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-18",
        "last_updated": "2009-05-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NY",
            "license": "052452-1",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "FL",
            "license": "DN18381",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Land O' Lakes, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2009; 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.