Individual provider Active NPI

Mark B Gilbert, DMD

  • Dentist
  • Pompano Beach, FL
National Provider Identifier
1659631307
Registry record updated Oct 12, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
13395 Issued in FL
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

Updated by the provider on Oct 12, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160223000717 FL Order and Referring Only - Other (Physician)Practitioner - Other (Physician) 6709181175

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
13395FLMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Americas Bright Smiles of Pompano Beach CurrentSince Jun 16, 2024 Accepting new patients
BMB Dental Management Past Accepting new patients
Professional Dental Alliance of Palm Beach Gardens, PLLC PastSince Feb 23, 2020 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.

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

Verify at the official NPI Registry.