Individual provider Active NPI

Javier J. Llompart, DMD

  • General Practice Dentistry
  • San Juan, PR
National Provider Identifier
1801918313
Registry record updated Jun 10, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
2772 Issued in PR
Practice address
735 Ave Ponce de Leon Ste 504
San Juan, PR 00917-5026
Phone
(787) 753-5055
Fax
(787) 296-2328
NPI assigned
Apr 4, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 10, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 2772 PR Primary

Addresses

Primary practice location

735 Ave Ponce de Leon Ste 504
San Juan, PR 00917-5026

Mailing address

735 Ave Ponce de Leon Ste 510
San Juan, PR 00917-5027
Phone (787) 753-5055

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PR
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
I20160606000551 PR Order and Referring Only - Oral SurgeryPractitioner - Oral Surgery 5193015063

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2772PRMDPharmacy Technician

Practice roles

OrganizationSpecialtyStatusNew patients
C L a Dental Group General Practice Past Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1175644800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1276128000000",
    "number": "1801918313",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "735 AVE PONCE DE LEON STE 510",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009175027",
            "telephone_number": "787-753-5055",
            "fax_number": "787-296-2328"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "735 AVE PONCE DE LEON STE 504",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009175026",
            "telephone_number": "787-753-5055",
            "fax_number": "787-296-2328"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LLOMPART",
        "first_name": "JAVIER",
        "middle_name": "J.",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-04-04",
        "last_updated": "2010-06-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "PR",
            "license": "2772",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Juan, PR

Sources for this page

Verify at the official NPI Registry.