Individual provider Active NPI

Gabriela Elexis Gurevich

  • General Practice Dentistry
  • Miami, FL
National Provider Identifier
1639703408
Registry record updated Jul 18, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DN27284 Issued in FL
Practice address
6000 Bird Rd
Miami, FL 33155-5253
Phone
(786) 499-9117
NPI assigned
Mar 2, 2020
Last updated
Jul 18, 2022By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 18, 2022

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 DN27284 FL Primary
Student in an Organized Health Care Education/Training Program 390200000X DRPM2148 FL

Addresses

Primary practice location

6000 Bird Rd
Miami, FL 33155-5253

Mailing address

4930 SW 92ND Ave
Miami, FL 33165-6507
Phone (786) 499-9117

Other practice location 1

750 E 25th St
Hialeah, FL 33013-3817
Phone (786) 499-9117

Other practice location 2

750 E 25th St
Hialeah, FL 33013-3817
Phone (786) 499-9117

Other practice location 3

750 E 25th St
Hialeah, FL 33013-3817
Phone (786) 499-9117

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
DN27284FLMDGeneral Practice Dentistry
DRPM2148FLMDStudent in an Organized Health Care Education/Training Program

NPI Registry JSON

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

{
    "created_epoch": "1583107200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658102400000",
    "number": "1639703408",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4930 SW 92ND AVE",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331656507",
            "telephone_number": "786-499-9117"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6000 BIRD RD",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331555253",
            "telephone_number": "786-499-9117"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "750 E 25th St",
            "address_purpose": "LOCATION",
            "city": "Hialeah",
            "state": "FL",
            "postal_code": "330133817",
            "country_code": "US",
            "telephone_number": "786-499-9117",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "750 E 25th St",
            "address_purpose": "LOCATION",
            "city": "Hialeah",
            "state": "FL",
            "postal_code": "330133817",
            "country_code": "US",
            "telephone_number": "786-499-9117",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "750 E 25th St",
            "address_purpose": "LOCATION",
            "city": "Hialeah",
            "state": "FL",
            "postal_code": "330133817",
            "country_code": "US",
            "telephone_number": "786-499-9117",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GUREVICH",
        "first_name": "GABRIELA",
        "middle_name": "ELEXIS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-03-02",
        "last_updated": "2022-07-18",
        "certification_date": "2022-07-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "FL",
            "license": "DN27284",
            "primary": true
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "FL",
            "license": "DRPM2148",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.