Active NPI
Antonio Gonzalez Acosta, DMD
- Dentist
- Homestead, FL
National Provider Identifier
1780314831
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 26995
- Practice address
- 786 S Homestead Blvd
Homestead, FL 33030-7352 - Phone
- (305) 242-5777
- NPI assigned
- Jun 13, 2022
- 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 |
|---|---|---|---|---|
| Dentist | 122300000X | 26995 | FL | Primary |
Addresses
Primary practice location
786 S Homestead Blvd
Homestead, FL 33030-7352
Mailing address
9316 SW 154TH CT
Miami, FL 33196-1134
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 |
|---|---|---|---|
| 26995 | FL | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1655078400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1655078400000",
"number": "1780314831",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9316 SW 154TH CT",
"city": "MIAMI",
"state": "FL",
"postal_code": "331961134"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "786 S HOMESTEAD BLVD",
"city": "HOMESTEAD",
"state": "FL",
"postal_code": "330307352",
"telephone_number": "305-242-5777"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GONZALEZ ACOSTA",
"first_name": "ANTONIO",
"name_prefix": "Dr.",
"credential": "DMD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2022-06-13",
"last_updated": "2022-06-13",
"certification_date": "2022-06-13",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "FL",
"license": "26995",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Homestead, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.