Organization Active NPI

Zoey Gutierrez-Nickel Orthodontics LLC

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Sebastian, FL
National Provider Identifier
1649981218
Registry record updated Dec 5, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
Legal business name
ZOEY GUTIERREZ-NICKEL ORTHODONTICS LLC
Practice address
373 Sebastian Blvd Ste B
Sebastian, FL 32958-4550
Phone
(772) 571-6938
NPI assigned
Dec 5, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 5, 2022

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

Authorized official

Name
Dr. Zoey Gutierrez-Nickel, DDS, MS
Title
Orthodontist
Phone
(772) 571-6938

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthodontics and Dentofacial Orthopedics DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223X0400X Primary

Addresses

Primary practice location

373 Sebastian Blvd Ste B
Sebastian, FL 32958-4550

Mailing address

373 Sebastian Blvd Ste B
Sebastian, FL 32958-4550
Phone (772) 571-6938

National Provider Directory

National Provider Directory

Locations

373 Sebastian Blvd
Ste B
Sebastian, FL 32958
Phone (772) 571-6938

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1670198400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1670198400000",
    "number": "1649981218",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "373 SEBASTIAN BLVD STE B",
            "city": "SEBASTIAN",
            "state": "FL",
            "postal_code": "329584550",
            "telephone_number": "772-571-6938"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "373 SEBASTIAN BLVD STE B",
            "city": "SEBASTIAN",
            "state": "FL",
            "postal_code": "329584550",
            "telephone_number": "772-571-6938"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ZOEY GUTIERREZ-NICKEL ORTHODONTICS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-12-05",
        "last_updated": "2022-12-05",
        "certification_date": "2022-12-05",
        "status": "A",
        "authorized_official_last_name": "GUTIERREZ-NICKEL",
        "authorized_official_first_name": "ZOEY",
        "authorized_official_title_or_position": "ORTHODONTIST",
        "authorized_official_telephone_number": "772-571-6938",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS, MS"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sebastian, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 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.