Active NPI
Nathan Richard Pirino
- Dentist
- Debary, FL
National Provider Identifier
1659004281
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 27165
- 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
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 |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| 27165 | FL | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Debary Dentistry LLC | Current | 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.
-
- Dental Clinic/Center
- Debary, FL
- NPI 1366078750
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.