Individual provider Active NPI

Alejandro Jose Delgado, D.D.S.

  • Dentist
  • Gainsville, FL
National Provider Identifier
1669887485
Registry record updated Jul 1, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
TEACHING PERMIT #603 Issued in FL
Practice address
1395 Center Drive,
University of Florida, College of Dentistry
Gainsville, FL 32610
Phone
(352) 273-5785
NPI assigned
Jul 1, 2014
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 1, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X TEACHING PERMIT #603 FL Primary

Addresses

Primary practice location

1395 Center Drive,
University of Florida, College of Dentistry
Gainsville, FL 32610

Mailing address

PO Box 100405
University of Florida, College of Dentistry
Gainsville, FL 32610
Phone (352) 273-5785

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
I20160315001539 FL Order and Referring Only - DentistPractitioner - Dentist 4688970890

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
TEACHING PERMIT #603FLMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Faculty Associates, Inc Past Accepting new patients
University of Florida Dentist Past Accepting new patients

Networks

  • Freedom Health HMO Network

Organizations & group practices 2

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": "1404172800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1404172800000",
    "number": "1669887485",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 100405",
            "address_2": "UNIVERSITY OF FLORIDA, COLLEGE OF DENTISTRY",
            "city": "GAINSVILLE",
            "state": "FL",
            "postal_code": "32610",
            "telephone_number": "352-273-5785"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1395 CENTER DRIVE,",
            "address_2": "UNIVERSITY OF FLORIDA, COLLEGE OF DENTISTRY",
            "city": "GAINSVILLE",
            "state": "FL",
            "postal_code": "32610",
            "telephone_number": "352-273-5785"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DELGADO",
        "first_name": "ALEJANDRO",
        "middle_name": "JOSE",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-07-01",
        "last_updated": "2014-07-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "FL",
            "license": "TEACHING PERMIT #603",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gainsville, FL

Sources for this page

Verify at the official NPI Registry.