Paula Andrea Grisales Cano, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

22722 Issued in FL

Practice address

2063 Aloma Ave Ste 203
Winter Park, FL 32792-3319

Phone

(407) 673-9111

NPI assigned

Jun 15, 2017

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

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.

• My Favorite Dental Boutique LLC

  • General Practice Dentistry
  • Longwood, FL
  • NPI 1255182515
  NPD Authorized official
• Coast Florida P.a.

  dba Coast Dental-Winter Park

  • Dentist
  • Winter Park, FL
  • NPI 1023684438
  NPD (past)
• Coast Florida P.a.

  • Dentist
  • Tampa, FL
  • NPI 1730287673
  NPD (past)

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

{
    "created_epoch": "1497484800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1556582400000",
    "number": "1548790157",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1312 BOB CAT CT",
            "city": "APOPKA",
            "state": "FL",
            "postal_code": "327123852"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2063 ALOMA AVE STE 203",
            "city": "WINTER PARK",
            "state": "FL",
            "postal_code": "327923319",
            "telephone_number": "407-673-9111"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1312 Bob Cat Ct",
            "address_purpose": "LOCATION",
            "city": "Apopka",
            "state": "FL",
            "postal_code": "32712",
            "country_code": "US",
            "telephone_number": "407-274-4744",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GRISALES CANO",
        "first_name": "PAULA",
        "middle_name": "ANDREA",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-06-15",
        "last_updated": "2019-04-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "FL",
            "license": "22722",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Chad Griffin
• Mary Beth Griffis, M.A.
• Diana Griffith, LCSW
• Stephen Louis Griggs, ATC
• David Y Grimm, L.M.F.T.
• Paul Grover
• Grow With You Behavioral Center LLC
• William B. Grow, M.D.
• Growth Counseling and Consulting
• Alyse M Gruber, MA

• General Practice Dentistry in Winter Park, FL
• Providers in Winter 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 Apr 30, 2019; 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.