Active NPI
Juana M Geldres, DDS, PA
- General Practice Dentistry
- West Palm Beach, FL
National Provider Identifier
1649212796
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- DN16169
- Practice address
- 1911 Forest Hill Blvd
West Palm Beach, FL 33406 - Phone
- (561) 439-7400
- Fax
- (561) 439-7443
- NPI assigned
- Jun 12, 2006
- Last updated
- Mar 1, 2019
- Sex
- Female
- Sole proprietor
- Yes
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 | DN16169 | FL | Primary |
Addresses
Primary practice location
1911 Forest Hill Blvd
West Palm Beach, FL 33406
Mailing address
1911 Forest Hill Blvd
West Palm Beach, FL 33406
Phone (561) 439-7400
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 007523100 | Medicaid | FL |
Other names 1
- Juana M Geldres
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
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DN16169 | FL | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Juana M Geldres DDS PA | Current | Accepting new patients |
Locations
1911 Forest Hill Blvd
West Palm Beach, FL 33406
Phone (561) 439-7400
Networks
- Freedom Health HMO Network
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba dentist/general practice
- Dental Clinic/Center
- West Palm Beach, FL
- NPI 1609162478
-
- Dental Clinic/Center
- Jupiter, FL
- NPI 1477840197
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1150070400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1551398400000",
"number": "1649212796",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1911 FOREST HILL BLVD",
"city": "WEST PALM BEACH",
"state": "FL",
"postal_code": "33406",
"telephone_number": "561-439-7400",
"fax_number": "561-439-7443"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1911 FOREST HILL BLVD",
"city": "WEST PALM BEACH",
"state": "FL",
"postal_code": "33406",
"telephone_number": "561-439-7400",
"fax_number": "561-439-7443"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GELDRES",
"first_name": "JUANA",
"middle_name": "M",
"name_prefix": "Dr.",
"credential": "DDS, PA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-06-12",
"last_updated": "2019-03-01",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "FL",
"license": "DN16169",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "007523100",
"state": "FL"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "JUANA",
"last_name": "GELDRES",
"middle_name": "M",
"credential": "DDS",
"code": "2",
"type": "Professional Name"
}
]
}
Other providers in West Palm Beach, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 1, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.