Active NPI
Rafael M Palaganas, D.D.S
- General Practice Dentistry
- Seminole, FL
National Provider Identifier
1730189267
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 14211
- Practice address
- 8201 113TH St
Seminole, FL 33772-4128 - Phone
- (727) 393-3679
- Fax
- (727) 394-9022
- NPI assigned
- Jul 27, 2005
- Reactivated
- Mar 27, 2006
- 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 | 14211 | FL | Primary |
Addresses
Primary practice location
8201 113TH St
Seminole, FL 33772-4128
Mailing address
8201 113TH St
Seminole, FL 33772-4128
Phone (727) 393-3679
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 606282 | Other | FL | UNITED CONCORDIA NUMBER |
| 56970 | Other | FL | BLUE CROS BLUE SHEILD # |
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 |
|---|---|---|---|
| 14211 | FL | MD | General Practice Dentistry |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1122422400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1730189267",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8201 113TH ST",
"city": "SEMINOLE",
"state": "FL",
"postal_code": "337724128",
"telephone_number": "727-393-3679",
"fax_number": "727-394-9022"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8201 113TH ST",
"city": "SEMINOLE",
"state": "FL",
"postal_code": "337724128",
"telephone_number": "727-393-3679",
"fax_number": "727-394-9022"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PALAGANAS",
"first_name": "RAFAEL",
"middle_name": "M",
"credential": "D.D.S",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-07-27",
"last_updated": "2007-07-08",
"deactivation_date": "2006-03-21",
"reactivation_date": "2006-03-27",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "FL",
"license": "14211",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED CONCORDIA NUMBER",
"identifier": "606282",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROS BLUE SHEILD #",
"identifier": "56970",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Seminole, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.