Active NPI
Mark B Gilbert, DMD
- Dentist
- Pompano Beach, FL
National Provider Identifier
1659631307
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 13395
- Practice address
- 2701 NE 14TH Street Cswy Ste 1
Pompano Beach, FL 33062-3535 - Phone
- (954) 941-2490
- NPI assigned
- May 29, 2012
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Dentist | 122300000X | 13395 | FL | Primary |
Addresses
Primary practice location
2701 NE 14TH Street Cswy Ste 1
Pompano Beach, FL 33062-3535
Mailing address
10706 Crystal Lake Dr
Boca Raton, FL 33428-1811
Phone (954) 895-1461
Medicare participation
Medicare enrollment files- 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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20160223000717 | FL | Order and Referring Only - Other (Physician) | 6709181175 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 13395 | FL | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Americas Bright Smiles of Pompano Beach | Current | Accepting new patients | |
| BMB Dental Management | Past | Accepting new patients | |
| Professional Dental Alliance of Palm Beach Gardens, PLLC | Past | Accepting new patients |
Locations
2701 NE 14th Street Cswy
Ste 1
Pompano Beach, FL 33062
Phone (954) 941-2490
Networks
- Freedom Health HMO Network
Organizations & group practices 3
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
- Pompano Beach, FL
- NPI 1649012832
-
- General Practice Dentistry
- Palm Beach Gardens, FL
- NPI 1962906339
-
- General Practice Dentistry
- Palm Beach Gardens, FL
- NPI 1518590306
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1338249600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1697068800000",
"number": "1659631307",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10706 CRYSTAL LAKE DR",
"city": "BOCA RATON",
"state": "FL",
"postal_code": "334281811",
"telephone_number": "954-895-1461"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2701 NE 14TH STREET CSWY STE 1",
"city": "POMPANO BEACH",
"state": "FL",
"postal_code": "330623535",
"telephone_number": "954-941-2490"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GILBERT",
"first_name": "MARK",
"middle_name": "B",
"credential": "DMD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2012-05-29",
"last_updated": "2023-10-12",
"certification_date": "2023-10-12",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "FL",
"license": "13395",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Pompano Beach, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 2023; 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.