Individual provider Active NPI

Delia Maria Garcia Pino, DMD

  • Dentist
  • Orlando, FL
National Provider Identifier
1639413206
Registry record updated Jul 17, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
DN19931 Issued in FL
Practice address
12927 Sugar Run Dr
Orlando, FL 32821-5441
Phone
(407) 583-9178
NPI assigned
Nov 20, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 17, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X DN19931 FL Primary

Addresses

Primary practice location

12927 Sugar Run Dr
Orlando, FL 32821-5441

Mailing address

4401 NW 87 Ave Apt 619
440
Doral, FL 33178
Phone (407) 583-9178

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
I20170831002492 FL Order and Referring Only - DentistPractitioner - Dentist 0244503985

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DN19931FLMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Blue Dental Studio Inc PastSince Nov 3, 2019 Accepting new patients

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": "1353369600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1500249600000",
    "number": "1639413206",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4401 NW 87 AVE APT 619",
            "address_2": "440",
            "city": "DORAL",
            "state": "FL",
            "postal_code": "33178",
            "telephone_number": "407-583-9178"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12927 SUGAR RUN DR",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328215441",
            "telephone_number": "407-583-9178"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GARCIA PINO",
        "first_name": "DELIA",
        "middle_name": "MARIA",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-11-20",
        "last_updated": "2017-07-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "FL",
            "license": "DN19931",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Orlando, FL

Sources for this page

Verify at the official NPI Registry.