Individual provider Active NPI

Gena Pineda, DDS

  • Dentist
  • Boca Raton, FL
National Provider Identifier
1861518433
Registry record updated Jul 11, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
DN27480 Issued in FL
Practice address
2301 Glades Rd Ste 101
Boca Raton, FL 33431-7398
Phone
(618) 304-5988
NPI assigned
Mar 22, 2007
Last updated
Jul 11, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 11, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X DN27480 FL Primary

Addresses

Primary practice location

2301 Glades Rd Ste 101
Boca Raton, FL 33431-7398

Mailing address

2301 Glades Rd Ste 101
Boca Raton, FL 33431-7398
Phone (561) 208-1988

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.
Opted out of Medicare
Yes, effective Oct 27, 2016 through Oct 27, 2026

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
DN27480FLMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Aspiring Smiles LLC CurrentSince Sep 24, 2023 Accepting new patients
Creating Smiles LLC Past Accepting new patients
Dental Professionals of Illinois, P.C. Dentist PastSince May 22, 2022 Accepting new patients

Locations

2301 Glades Rd
Ste 101
Boca Raton, FL 33431
Phone (561) 208-1988

Organizations & group practices 4

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

NPI Registry JSON

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

{
    "created_epoch": "1174521600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1720656000000",
    "number": "1861518433",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2301 GLADES RD STE 101",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334317398",
            "telephone_number": "561-208-1988",
            "fax_number": "561-208-1981"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2301 GLADES RD STE 101",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334317398",
            "telephone_number": "618-304-5988"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PINEDA",
        "first_name": "GENA",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-22",
        "last_updated": "2024-07-11",
        "certification_date": "2023-09-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "FL",
            "license": "DN27480",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boca Raton, FL

Sources for this page

Verify at the official NPI Registry.