Active NPI
Karly Simone Fabres, D.M.D.
- Pediatric Dentistry
- Gainesville, FL
National Provider Identifier
1881892008
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Dentistry
- License
- DN17915
- Practice address
- 5206 SW 91St Ter
Apt B
Gainesville, FL 32608-7124 - Phone
- (352) 273-7631
- NPI assigned
- Jul 10, 2007
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Dentistry | 1223P0221X | DN17915 | FL | Primary |
Addresses
Primary practice location
5206 SW 91St Ter
Apt B
Gainesville, FL 32608-7124
Mailing address
5206 SW 91St Ter
Apt B
Gainesville, FL 32608-7124
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 |
|---|---|---|---|
| DN17915 | FL | MD | Pediatric Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1184025600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1184025600000",
"number": "1881892008",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5206 SW 91ST TER",
"address_2": "APT B",
"city": "GAINESVILLE",
"state": "FL",
"postal_code": "326087124"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5206 SW 91ST TER",
"address_2": "APT B",
"city": "GAINESVILLE",
"state": "FL",
"postal_code": "326087124",
"telephone_number": "352-273-7631"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FABRES",
"first_name": "KARLY",
"middle_name": "SIMONE",
"name_prefix": "Dr.",
"credential": "D.M.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-07-10",
"last_updated": "2007-07-10",
"status": "A"
},
"taxonomies": [
{
"code": "1223P0221X",
"taxonomy_group": "",
"desc": "Dentist, Pediatric Dentistry",
"state": "FL",
"license": "DN17915",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"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 Jul 10, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.