Robertzon Guloy, DMD

Primary specialty

Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X

License

DN20464 Issued in FL

Practice address

5745 Park Blvd
Pinellas Park, FL 33781

Phone

(727) 698-6684

Fax

(727) 605-8058

NPI assigned

Jun 29, 2008

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Go Smile Pediatric Dentistry & Orthodontics

  • Pediatric Dentistry
  • Pinellas Park, FL
  • NPI 1528704988

  Orthodontics and Dentofacial Orthopedics

  NPD

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

{
    "created_epoch": "1214697600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1709856000000",
    "number": "1659533883",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5745 PARK BLVD",
            "city": "PINELLAS PARK",
            "state": "FL",
            "postal_code": "33781",
            "telephone_number": "727-698-6684"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5745 PARK BLVD",
            "city": "PINELLAS PARK",
            "state": "FL",
            "postal_code": "33781",
            "telephone_number": "727-698-6684",
            "fax_number": "727-605-8058"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GULOY",
        "first_name": "ROBERTZON",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-06-29",
        "last_updated": "2024-03-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NY",
            "license": "055513",
            "primary": false
        },
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "FL",
            "license": "DN20464",
            "primary": true
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "IL",
            "license": "019028854",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gulf Coast Rehabilitation and Wellness Center Inc
• Gulf Coast Retina Specialists PLLC
• Gulf Coast Vein Center, P.a.
• Gulf Shore Facility Inc
• Gulf Shore Nursing and Rehab LLC
• Ahmet Gumus, CRNA
• Maria Paula Guzman, MD
• GV Pinellas Park, LLC
• Wanda Presley Gwyn, M.S.
• Faith Habib

• Orthodontics and Dentofacial Orthopedics Dentistry in Pinellas Park, FL
• Providers in Pinellas Park, FL by specialty
• Orthodontics and Dentofacial Orthopedics Dentistry in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 8, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.