Active NPI
Frank Alarcon Marimon, DDS
- General Practice Dentistry
- Port Saint Lucie, FL
National Provider Identifier
1710417837
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- DN22660
- Practice address
- 1100 SW Saint Lucie West Blvd Ste 205
Port Saint Lucie, FL 34986-1779 - Phone
- (772) 807-1451
- Fax
- (591) 948-2081
- NPI assigned
- Jun 13, 2017
- 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 |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | DN22660 | FL | Primary |
Addresses
Primary practice location
1100 SW Saint Lucie West Blvd Ste 205
Port Saint Lucie, FL 34986-1779
Mailing address
1225 NE 124TH St
North Miami, FL 33161-5931
Phone (561) 504-3311
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| DN22660 | Medicaid | FL |
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 |
|---|---|---|---|
| DN22660 | FL | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Frank Alarcon PA | General Practice | Current | Accepting new patients |
Networks
- Freedom Health HMO Network
Organizations & group practices 1
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
- Sunrise, FL
- NPI 1740909589
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1497312000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1497312000000",
"number": "1710417837",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1225 NE 124TH ST",
"city": "NORTH MIAMI",
"state": "FL",
"postal_code": "331615931",
"telephone_number": "561-504-3311",
"fax_number": "561-948-2081"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1100 SW SAINT LUCIE WEST BLVD STE 205",
"city": "PORT SAINT LUCIE",
"state": "FL",
"postal_code": "349861779",
"telephone_number": "772-807-1451",
"fax_number": "591-948-2081"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ALARCON MARIMON",
"first_name": "FRANK",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2017-06-13",
"last_updated": "2017-06-13",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "FL",
"license": "DN22660",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "DN22660",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Port Saint Lucie, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.