Individual provider Active NPI

Gilsa Barbara Morlote Henderson, DMD

  • General Practice Dentistry
  • Hialeah, FL
National Provider Identifier
1619863701
Registry record updated Jun 16, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
30499 Issued in FL
Practice address
4963 W 6TH Ave
Hialeah, FL 33012-3803
Phone
(305) 558-1171
NPI assigned
Jun 16, 2025
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 16, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 30499 FL Primary

Addresses

Primary practice location

4963 W 6TH Ave
Hialeah, FL 33012-3803

Mailing address

1025 SW 75TH Ave
West Miami, FL 33144-4415
Phone (786) 394-3641

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260623004863 FL Practitioner - Dentist 3072086875 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Dentist
Education
Nova Southeastern Univ College of Dental Medicine, 2025
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

336 NW 5TH St
Miami, FL 33128-1616

9064 NW 13TH Ter
Doral, FL 33172-2907

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
30499FLMDGeneral Practice Dentistry

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1750032000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1750032000000",
    "number": "1619863701",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1025 SW 75TH AVE",
            "city": "WEST MIAMI",
            "state": "FL",
            "postal_code": "331444415",
            "telephone_number": "786-394-3641"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4963 W 6TH AVE",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330123803",
            "telephone_number": "305-558-1171"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MORLOTE HENDERSON",
        "first_name": "GILSA",
        "middle_name": "BARBARA",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-06-16",
        "last_updated": "2025-06-16",
        "certification_date": "2025-06-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "FL",
            "license": "30499",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hialeah, FL

Sources for this page

Verify at the official NPI Registry.