Active NPI
Maria M. Egusquiza DMD PA
- General Practice Dentistry
- West Palm Beach, FL
National Provider Identifier
1659828705
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- DN0012314
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 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
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Dentist
- West Palm Beach, FL
- NPI 1043411796
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.