Active NPI
Yudancy P Gangi, DDS
- General Practice Dentistry
- Hollywood, FL
National Provider Identifier
1821579459
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- DN23785
- Practice address
- 2303 Hollywood Blvd Ste 14
Hollywood, FL 33020-6768 - Phone
- (954) 367-5671
- NPI assigned
- Aug 22, 2018
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | DN23785 | FL | |
| General Practice Dentistry | 1223G0001X | DN23785 | FL | Primary |
Addresses
Primary practice location
2303 Hollywood Blvd Ste 14
Hollywood, FL 33020-6768
Mailing address
2303 Hollywood Blvd Ste 14
Hollywood, FL 33020-6768
Phone (954) 367-5671
Other practice location 1
6320 15th St E Ste C3
Sarasota, FL 34243-3263
Phone (941) 751-4900
Other practice location 2
1800 Sans Souci Blvd Apt 137
North Miami, FL 33181-3067
Phone (954) 548-6151
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 |
|---|---|---|---|
| DN23785 | FL | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hollywood Dental Care | General Practice | Past | Accepting new patients |
Networks
- Freedom Health HMO Network
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.
-
- General Practice Dentistry
- Hollywood, FL
- NPI 1902143530
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1534896000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1534896000000",
"number": "1821579459",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2303 HOLLYWOOD BLVD STE 14",
"city": "HOLLYWOOD",
"state": "FL",
"postal_code": "330206768",
"telephone_number": "954-367-5671"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2303 HOLLYWOOD BLVD STE 14",
"city": "HOLLYWOOD",
"state": "FL",
"postal_code": "330206768",
"telephone_number": "954-367-5671"
}
],
"practiceLocations": [
{
"address_1": "6320 15th St E Ste C3",
"address_purpose": "LOCATION",
"city": "Sarasota",
"state": "FL",
"postal_code": "342433263",
"country_code": "US",
"telephone_number": "941-751-4900",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1800 Sans Souci Blvd Apt 137",
"address_purpose": "LOCATION",
"city": "North Miami",
"state": "FL",
"postal_code": "331813067",
"country_code": "US",
"telephone_number": "954-548-6151",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GANGI",
"first_name": "YUDANCY",
"middle_name": "P",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2018-08-22",
"last_updated": "2018-08-22",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "FL",
"license": "DN23785",
"primary": false
},
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "FL",
"license": "DN23785",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Hollywood, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.