Individual provider Active NPI

Luz D Visbal, D.M.D

  • Endodontics
  • Wesley Chapel, FL
National Provider Identifier
1598080921
Registry record updated Nov 12, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
EndodonticsTaxonomy code 1223E0200X
License
DN21564 Issued in FL
Practice address
27605 Cashford Cir Ste 101
Endodontic Professionals
Wesley Chapel, FL 33544-6953
Phone
(813) 907-8751
Fax
(813) 907-8763
NPI assigned
Mar 29, 2010
Last updated
Nov 12, 2015By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 12, 2015

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Endodontics 1223E0200X DN21564 FL Primary
Endodontics 1223E0200X 2829 PR

Addresses

Primary practice location

27605 Cashford Cir Ste 101
Endodontic Professionals
Wesley Chapel, FL 33544-6953

Mailing address

PO Box 250586
Aguadilla, PR 00604-0586
Phone (787) 431-1158

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PR
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

Enrollment IDStateProvider typePAC IDDetails
I20150825005189 PR Order and Referring Only - Other (Physician)Practitioner - Other (Physician) 7911213798

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DN21564FLMDEndodontist
2829PRMDMedical Laboratory Technician

Practice roles

OrganizationSpecialtyStatusNew patients
David a Beach DMD Ms PA Past Accepting new patients
LDV Endodontics Endodontics Past Accepting new patients

Organizations & group practices 2

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": "1269820800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1447286400000",
    "number": "1598080921",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 250586",
            "city": "AGUADILLA",
            "state": "PR",
            "postal_code": "006040586",
            "telephone_number": "787-431-1158"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27605 CASHFORD CIR STE 101",
            "address_2": "ENDODONTIC PROFESSIONALS",
            "city": "WESLEY CHAPEL",
            "state": "FL",
            "postal_code": "335446953",
            "telephone_number": "813-907-8751",
            "fax_number": "813-907-8763"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VISBAL",
        "first_name": "LUZ",
        "middle_name": "D",
        "name_prefix": "Dr.",
        "credential": "D.M.D",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-03-29",
        "last_updated": "2015-11-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223E0200X",
            "taxonomy_group": "",
            "desc": "Dentist, Endodontics",
            "state": "FL",
            "license": "DN21564",
            "primary": true
        },
        {
            "code": "1223E0200X",
            "taxonomy_group": "",
            "desc": "Dentist, Endodontics",
            "state": "PR",
            "license": "2829",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wesley Chapel, FL

Sources for this page

Verify at the official NPI Registry.