Active NPI
Ann M Pomeranz, DMD
- General Practice Dentistry
- Gainesville, FL
National Provider Identifier
1629098223
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 15516
- Practice address
- 7575 West University Ave
Suite P
Gainesville, FL 32607-7600 - Phone
- (352) 331-4626
- Fax
- (352) 331-0223
- NPI assigned
- Jul 20, 2006
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 15516 | FL | Primary |
Addresses
Primary practice location
7575 West University Ave
Suite P
Gainesville, FL 32607-7600
Mailing address
7575 West University Ave
Suite P
Gainesville, FL 32607-7600
Phone (352) 331-4626
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1347986 | Other | FL | UNITED CONCORDIA |
| 83439 | Other | FL | BCBS |
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 |
|---|---|---|---|---|
| I20160301000191 | FL | Order and Referring Only - Dentist | 7517262595 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 15516 | FL | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153353600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1629098223",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7575 WEST UNIVERSITY AVE",
"address_2": "SUITE P",
"city": "GAINESVILLE",
"state": "FL",
"postal_code": "326077600",
"telephone_number": "352-331-4626",
"fax_number": "352-331-0223"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7575 WEST UNIVERSITY AVE",
"address_2": "SUITE P",
"city": "GAINESVILLE",
"state": "FL",
"postal_code": "326077600",
"telephone_number": "352-331-4626",
"fax_number": "352-331-0223"
}
],
"practiceLocations": [],
"basic": {
"last_name": "POMERANZ",
"first_name": "ANN",
"middle_name": "M",
"name_prefix": "Dr.",
"credential": "DMD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-07-20",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "FL",
"license": "15516",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED CONCORDIA",
"identifier": "1347986",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "83439",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Gainesville, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.