Barbaro Montiel Lugo

Primary specialty

DentistTaxonomy code 122300000X

License

DN30617 Issued in FL

Practice address

516 Mary Esther Cut Off NW Ste 2
Fort Walton Beach, FL 32548-4025

Phone

(754) 244-8643

NPI assigned

May 8, 2025

Last updated

Jun 25, 2025By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1746662400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1750809600000",
    "number": "1881484210",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "516 MARY ESTHER CUT OFF NW STE 2",
            "city": "FORT WALTON BEACH",
            "state": "FL",
            "postal_code": "325484025",
            "telephone_number": "754-244-8643"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "516 MARY ESTHER CUT OFF NW STE 2",
            "city": "FORT WALTON BEACH",
            "state": "FL",
            "postal_code": "325484025",
            "telephone_number": "754-244-8643"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MONTIEL LUGO",
        "first_name": "BARBARO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2025-05-08",
        "last_updated": "2025-06-25",
        "certification_date": "2025-06-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "FL",
            "license": "DN30617",
            "primary": true
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Dentist in Fort Walton Beach, FL
• Providers in Fort Walton Beach, FL by specialty
• Dentist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2025; 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.