Individual provider Active NPI

Renata Nakagawa Lencioni, DDS

  • Dentist
  • Gainesville, FL
National Provider Identifier
1780351825
Registry record updated Aug 26, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
DRPM2372 Issued in FL
Practice address
1600 SW Archer Rd # D2-27
Gainesville, FL 32610-3003
Phone
(352) 273-7957
Fax
(352) 846-1643
NPI assigned
Aug 26, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 26, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X DRPM2372 FL Primary

Addresses

Primary practice location

1600 SW Archer Rd # D2-27
Gainesville, FL 32610-3003

Mailing address

1600 SW Archer Rd # D2-27
Gainesville, FL 32610-0415
Phone (352) 273-7957

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL Gainesville

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

LicenseStateTypeSpecialty
DRPM2372FLMDDentist

NPI Registry JSON

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

{
    "created_epoch": "1629936000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1629936000000",
    "number": "1780351825",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1600 SW ARCHER RD # D2-27",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "326100415",
            "telephone_number": "352-273-7957",
            "fax_number": "352-846-1643"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1600 SW ARCHER RD # D2-27",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "326103003",
            "telephone_number": "352-273-7957",
            "fax_number": "352-846-1643"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NAKAGAWA LENCIONI",
        "first_name": "RENATA",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-08-26",
        "last_updated": "2021-08-26",
        "certification_date": "2021-08-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "FL",
            "license": "DRPM2372",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Gainesville",
            "affiliation": "N",
            "address_1": "1600 SW Archer Rd # D2-27",
            "city": "Gainesville",
            "state": "FL",
            "country_code": "US",
            "postal_code": "326100415",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Gainesville, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.