Active NPI
Elisabeth E Mauro, DDS
- Orthodontics and Dentofacial Orthopedics Dentistry
- Port Saint Lucie, FL
National Provider Identifier
1770074387
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthodontics and Dentofacial Orthopedics Dentistry
- License
- DN28533
- Practice address
- 10356 SW Discovery Way
Port Saint Lucie, FL 34987-2951 - Phone
- (772) 272-1464
- NPI assigned
- May 21, 2018
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Orthodontics and Dentofacial Orthopedics Dentistry | 1223X0400X | DN28533 | FL | Primary |
Addresses
Primary practice location
10356 SW Discovery Way
Port Saint Lucie, FL 34987-2951
Mailing address
10356 SW Discovery Way
Port Saint Lucie, FL 34987-2951
Phone (772) 272-1464
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 |
|---|---|---|---|
| DN28533 | FL | MD | Orthodontics and Dentofacial Orthopedic Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1526860800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1773360000000",
"number": "1770074387",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10356 SW DISCOVERY WAY",
"city": "PORT SAINT LUCIE",
"state": "FL",
"postal_code": "349872951",
"telephone_number": "772-272-1464"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10356 SW DISCOVERY WAY",
"city": "PORT SAINT LUCIE",
"state": "FL",
"postal_code": "349872951",
"telephone_number": "772-272-1464"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MAURO",
"first_name": "ELISABETH",
"middle_name": "E",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-05-21",
"last_updated": "2026-03-13",
"certification_date": "2026-03-13",
"status": "A"
},
"taxonomies": [
{
"code": "1223X0400X",
"taxonomy_group": "",
"desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
"state": "FL",
"license": "DN28533",
"primary": true
}
],
"identifiers": [],
"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 Mar 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.