Active NPI
Mariana Doeste, DMD
- Periodontics
- Hollywood, FL
National Provider Identifier
1558770586
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Periodontics
- License
- DN19623
- Practice address
- 2501 S Ocean Dr Apt 717
Hollywood, FL 33019-2610 - Phone
- (407) 756-0227
- NPI assigned
- Aug 4, 2014
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Periodontics | 1223P0300X | DN19623 | FL | Primary |
Addresses
Primary practice location
2501 S Ocean Dr Apt 717
Hollywood, FL 33019-2610
Mailing address
2501 S Ocean Dr Apt 717
Hollywood, FL 33019-2610
Phone (407) 756-0227
Medicare participation
Medicare enrollment files- 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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20160202001830 | FL | Order and Referring Only - Other (Physician) | 3173827706 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1407110400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1407110400000",
"number": "1558770586",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2501 S OCEAN DR APT 717",
"city": "HOLLYWOOD",
"state": "FL",
"postal_code": "330192610",
"telephone_number": "407-756-0227"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2501 S OCEAN DR APT 717",
"city": "HOLLYWOOD",
"state": "FL",
"postal_code": "330192610",
"telephone_number": "407-756-0227"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DOESTE",
"first_name": "MARIANA",
"name_prefix": "Dr.",
"credential": "DMD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2014-08-04",
"last_updated": "2014-08-04",
"status": "A"
},
"taxonomies": [
{
"code": "1223P0300X",
"taxonomy_group": "",
"desc": "Dentist, Periodontics",
"state": "FL",
"license": "DN19623",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Hollywood, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2014; 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.