Active NPI
Alejandro Jose Delgado, D.D.S.
- Dentist
- Gainsville, FL
National Provider Identifier
1669887485
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- TEACHING PERMIT #603
- 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
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 | 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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20160315001539 | FL | Order and Referring Only - Dentist | 4688970890 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| TEACHING PERMIT #603 | FL | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New 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.
-
- Periodontics
- Gainesville, FL
- NPI 1275084204
-
- Dentist
- Gainesville, FL
- NPI 1053726778
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2014; 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.