Individual provider Active NPI

Natalia Besada, DMD, MS

  • Periodontics
  • Sanford, FL
National Provider Identifier
1750877114
Registry record updated Jun 18, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
PeriodonticsTaxonomy code 1223P0300X
License
DN23365 Issued in FL
Practice address
4730 W State Road 46 Ste 1220
Sanford, FL 32771-9343
Phone
(407) 708-3144
NPI assigned
Jul 9, 2018
Last updated
Jun 18, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 18, 2021

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 23365 FL
Periodontics 1223P0300X DN23365 FL Primary
Student in an Organized Health Care Education/Training Program 390200000X

Addresses

Primary practice location

4730 W State Road 46 Ste 1220
Sanford, FL 32771-9343

Mailing address

4721 N 36TH CT
Hollywood, FL 33021-2226
Phone (954) 646-1978

Other practice location 1

385 S Columbia St
Chapel Hill, NC 27599-0001
Phone (919) 537-3737

Other identifiers 1

IdentifierTypeStateIssuer
151199OtherNCDENTAL INTERN PERMIT

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210903001731 FL Order and Referring Only - DentistPractitioner - Dentist 3870999576

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
23365FLMDDentist
DN23365FLMDPeriodontist

Practice roles

OrganizationSpecialtyStatusNew patients
Unc School of Dentistry Dentist Past Accepting new patients
Adams School of Dentistry PastSince Jul 7, 2024 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1531094400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1623974400000",
    "number": "1750877114",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4721 N 36TH CT",
            "city": "HOLLYWOOD",
            "state": "FL",
            "postal_code": "330212226",
            "telephone_number": "954-646-1978"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4730 W STATE ROAD 46 STE 1220",
            "city": "SANFORD",
            "state": "FL",
            "postal_code": "327719343",
            "telephone_number": "407-708-3144"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "385 S Columbia St",
            "address_purpose": "LOCATION",
            "city": "Chapel Hill",
            "state": "NC",
            "postal_code": "275990001",
            "country_code": "US",
            "telephone_number": "919-537-3737",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BESADA",
        "first_name": "NATALIA",
        "credential": "DMD, MS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-07-09",
        "last_updated": "2021-06-18",
        "certification_date": "2021-06-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "FL",
            "license": "23365",
            "primary": false
        },
        {
            "code": "1223P0300X",
            "taxonomy_group": "",
            "desc": "Dentist, Periodontics",
            "state": "FL",
            "license": "DN23365",
            "primary": true
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DENTAL INTERN PERMIT",
            "identifier": "151199",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Sanford, FL

Sources for this page

Verify at the official NPI Registry.