Individual provider Active NPI

Yeneir Urquiza Diggle, D.M.D.

  • General Practice Dentistry
  • Vero Beach, FL
National Provider Identifier
1629325592
Registry record updated Jan 16, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DN 19806 Issued in FL
Practice address
4000 Atlantic Blvd Ste 101
Vero Beach, FL 32960-2479
Phone
(772) 567-2132
NPI assigned
Aug 10, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 16, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X DN19806 FL
General Practice Dentistry 1223G0001X DN 19806 FL Primary

Addresses

Primary practice location

4000 Atlantic Blvd Ste 101
Vero Beach, FL 32960-2479

Mailing address

700 SE Becker Rd # 101
Port Saint Lucie, FL 34984-6621
Phone (786) 301-5629

Other names 1

  • Yeneir Urquiza Former name

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
I20160121000448 FL Order and Referring Only - DentistPractitioner - Dentist 5395048649

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DN 19806FLMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
CDPG, P.a. General Practice PastSince Jan 17, 2022 Accepting new patients

Networks

  • Freedom Health HMO Network

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": "1344556800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736985600000",
    "number": "1629325592",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "700 SE BECKER RD # 101",
            "city": "PORT SAINT LUCIE",
            "state": "FL",
            "postal_code": "349846621",
            "telephone_number": "786-301-5629"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4000 ATLANTIC BLVD STE 101",
            "city": "VERO BEACH",
            "state": "FL",
            "postal_code": "329602479",
            "telephone_number": "772-567-2132"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIGGLE",
        "first_name": "YENEIR",
        "middle_name": "URQUIZA",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-08-10",
        "last_updated": "2025-01-16",
        "certification_date": "2025-01-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "FL",
            "license": "DN19806",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "FL",
            "license": "DN 19806",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "YENEIR",
            "last_name": "URQUIZA",
            "credential": "DMD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Vero Beach, FL

Sources for this page

Verify at the official NPI Registry.