Individual provider Active NPI

Nathan Richard Pirino

  • Dentist
  • Debary, FL
National Provider Identifier
1659004281
Registry record updated Jul 1, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
27165 Issued in FL
Practice address
190 N Charles Richard Beall Blvd Ste 101
Debary, FL 32713-2271
Phone
(386) 668-2003
NPI assigned
Jul 1, 2022
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 1, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 27165 FL Primary

Addresses

Primary practice location

190 N Charles Richard Beall Blvd Ste 101
Debary, FL 32713-2271

Mailing address

953 Bentstation LN Apt 219
Lake Mary, FL 32746-2272
Phone (407) 212-2582

Other practice location 1

916 Deltona Blvd Ste 100
Deltona, FL 32725-6912
Phone (386) 387-3763

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
27165FLMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Debary Dentistry LLC CurrentSince Jul 17, 2022 Accepting new patients

Locations

190 N Charles Richard Beall Blvd
Ste 101
Debary, FL 32713
Phone (386) 668-2003

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": "1656633600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1656633600000",
    "number": "1659004281",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "953 BENTSTATION LN APT 219",
            "city": "LAKE MARY",
            "state": "FL",
            "postal_code": "327462272",
            "telephone_number": "407-212-2582"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "190 N CHARLES RICHARD BEALL BLVD STE 101",
            "city": "DEBARY",
            "state": "FL",
            "postal_code": "327132271",
            "telephone_number": "386-668-2003"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "916 Deltona Blvd Ste 100",
            "address_purpose": "LOCATION",
            "city": "Deltona",
            "state": "FL",
            "postal_code": "327256912",
            "country_code": "US",
            "telephone_number": "386-387-3763",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PIRINO",
        "first_name": "NATHAN",
        "middle_name": "RICHARD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-07-01",
        "last_updated": "2022-07-01",
        "certification_date": "2022-07-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "FL",
            "license": "27165",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Debary, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 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.