Individual provider Active NPI

Gabrielle Bekov, DDS

  • General Practice Dentistry
  • Pompano Beach, FL
National Provider Identifier
1720547227
Registry record updated Nov 1, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DN26277 Issued in FL
Practice address
1600 E Atlantic Blvd FL 2
Pompano Beach, FL 33060-6768
Phone
(914) 310-5014
Fax
(954) 666-0493
NPI assigned
Mar 14, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 1, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
General Practice Dentistry 1223G0001X DN26277 FL Primary

Addresses

Primary practice location

1600 E Atlantic Blvd FL 2
Pompano Beach, FL 33060-6768

Mailing address

211 189TH Ter
Sunny Isles Beach, FL 33160-2311
Phone (914) 310-5014

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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
I20191107001348 NY Order and Referring Only - DentistPractitioner - Dentist 5991137234

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DN26277FLMDGeneral Practice Dentistry

Networks

  • Freedom Health HMO Network

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1552521600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1667260800000",
    "number": "1720547227",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "211 189TH TER",
            "city": "SUNNY ISLES BEACH",
            "state": "FL",
            "postal_code": "331602311",
            "telephone_number": "914-310-5014"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1600 E ATLANTIC BLVD FL 2",
            "city": "POMPANO BEACH",
            "state": "FL",
            "postal_code": "330606768",
            "telephone_number": "914-310-5014",
            "fax_number": "954-666-0493"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BEKOV",
        "first_name": "GABRIELLE",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-03-14",
        "last_updated": "2022-11-01",
        "certification_date": "2022-11-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "FL",
            "license": "DN26277",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pompano Beach, FL

Sources for this page

Verify at the official NPI Registry.