Organization Active NPI

Maria M. Egusquiza DMD PA

  • General Practice Dentistry
  • West Palm Beach, FL
National Provider Identifier
1659828705
Registry record updated Sep 7, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DN0012314 Issued in FL
Legal business name
MARIA M. EGUSQUIZA DMD PA
Practice address
3676 Collin Dr
Suite 4
West Palm Beach, FL 33406-4727
Phone
(561) 965-0292
Fax
(561) 965-0256
NPI assigned
Sep 7, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 7, 2016

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

Authorized official

Name
Maria M Egusquiza, DMD
Title
Doctor/Owner
Phone
(561) 965-0292

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223G0001X DN0012314 FL Primary

Addresses

Primary practice location

3676 Collin Dr
Suite 4
West Palm Beach, FL 33406-4727

Mailing address

3676 Collin Dr
Suite 4
West Palm Beach, FL 33406-4727
Phone (561) 965-0292

Other names 1

  • Cosmetic DA Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1473206400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1473206400000",
    "number": "1659828705",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3676 COLLIN DR",
            "address_2": "SUITE 4",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334064727",
            "telephone_number": "561-965-0292",
            "fax_number": "561-965-0256"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3676 COLLIN DR",
            "address_2": "SUITE 4",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334064727",
            "telephone_number": "561-965-0292",
            "fax_number": "561-965-0256"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARIA M. EGUSQUIZA DMD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-09-07",
        "last_updated": "2016-09-07",
        "status": "A",
        "authorized_official_last_name": "EGUSQUIZA",
        "authorized_official_first_name": "MARIA",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "DOCTOR/OWNER",
        "authorized_official_telephone_number": "561-965-0292",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "FL",
            "license": "DN0012314",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Cosmetic DA",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in West Palm Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 2016; 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.