Active NPI
Marlen Gutierrez
- Dentist
- Miami Lakes, FL
National Provider Identifier
1740686948
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- DN20998
- Practice address
- 8420 NW 138TH Ter
#2902
Miami Lakes, FL 33016-6589 - Phone
- (305) 733-9842
- NPI assigned
- Nov 15, 2014
- Sex
- Female
- Sole proprietor
- Yes
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 | DN20998 | FL | Primary |
Addresses
Primary practice location
8420 NW 138TH Ter
#2902
Miami Lakes, FL 33016-6589
Mailing address
8420 NW 138TH Ter
#2902
Miami Lakes, FL 33016-6589
Phone (305) 733-9842
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 |
|---|---|---|---|---|
| I20150528002846 | FL | Order and Referring Only - Oral Surgery | 6709106933 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1416009600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1429056000000",
"number": "1740686948",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8420 NW 138TH TER",
"address_2": "#2902",
"city": "MIAMI LAKES",
"state": "FL",
"postal_code": "330166589",
"telephone_number": "305-733-9842"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8420 NW 138TH TER",
"address_2": "#2902",
"city": "MIAMI LAKES",
"state": "FL",
"postal_code": "330166589",
"telephone_number": "305-733-9842"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GUTIERREZ",
"first_name": "MARLEN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2014-11-15",
"last_updated": "2015-04-15",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "FL",
"license": "DN20998",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Miami Lakes, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2015; 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.