Active NPI
Lina Alejandra Ramirez, DMD
- Dentist
- Palm Bay, FL
National Provider Identifier
1679002604
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 22606
- Practice address
- 3590 Bayside Lakes Blvd SE
Palm Bay, FL 32909-6866 - Phone
- (321) 544-7036
- NPI assigned
- Jun 4, 2017
- Sex
- Female
- 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 | 22606 | FL | Primary |
Addresses
Primary practice location
3590 Bayside Lakes Blvd SE
Palm Bay, FL 32909-6866
Mailing address
3590 Bayside Lakes Blvd SE
#1
Palm Bay, FL 32909
Phone (321) 984-0044
Other practice location 1
3226 Lake Washington Rd
Melbourne, FL 32934-7620
Phone (786) 587-9592
Other practice location 2
660 E Eau Gallie Blvd
Indian Harbour Beach, FL 32937-4252
Phone (321) 777-7474
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 22606 | FL | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| New Image Dentisty of Palm Bay | Past | Accepting new patients | |
| Professional Dental Alliance of Bayside Lakes, PLLC | Past | Accepting new patients |
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.
-
- General Practice Dentistry
- Palm Bay, FL
- NPI 1285047506
-
- General Practice Dentistry
- Palm Bay, FL
- NPI 1346729167
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1496534400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1521244800000",
"number": "1679002604",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3590 BAYSIDE LAKES BLVD SE",
"address_2": "#1",
"city": "PALM BAY",
"state": "FL",
"postal_code": "32909",
"telephone_number": "321-984-0044"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3590 BAYSIDE LAKES BLVD SE",
"city": "PALM BAY",
"state": "FL",
"postal_code": "329096866",
"telephone_number": "321-544-7036"
}
],
"practiceLocations": [
{
"address_1": "3226 Lake Washington Rd",
"address_purpose": "LOCATION",
"city": "Melbourne",
"state": "FL",
"postal_code": "329347620",
"country_code": "US",
"telephone_number": "786-587-9592",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "660 E Eau Gallie Blvd",
"address_purpose": "LOCATION",
"city": "Indian Harbour Beach",
"state": "FL",
"postal_code": "329374252",
"country_code": "US",
"telephone_number": "321-777-7474",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "RAMIREZ",
"first_name": "LINA",
"middle_name": "ALEJANDRA",
"name_prefix": "Dr.",
"credential": "DMD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-06-04",
"last_updated": "2018-03-17",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "FL",
"license": "22606",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Palm Bay, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.