Individual provider Active NPI

Gina Marcus, DMD

  • General Practice Dentistry
  • Coral Gables, FL
National Provider Identifier
1952312415
Registry record updated Sep 11, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DN 16388 Issued in FL
Practice address
2600 S Douglas Rd Ste 906
Coral Gables, FL 33134-6142
Phone
(305) 998-2970
Fax
(305) 374-5551
NPI assigned
Aug 10, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2023

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 DN 16388 FL Primary

Addresses

Primary practice location

2600 S Douglas Rd Ste 906
Coral Gables, FL 33134-6142

Mailing address

2600 S Douglas Rd Ste 906
Coral Gables, FL 33134-6142
Phone (305) 998-2970

Other identifiers 1

IdentifierTypeStateIssuer
1598841496OtherFLDENTAL

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

LicenseStateTypeSpecialty
DN 16388FLMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Gina Marcus, DMD, PA General Practice CurrentSince Sep 24, 2023 Accepting new patients

Locations

2600 S Douglas Rd
Ste 906
Coral Gables, FL 33134
Phone (305) 998-2970

2600 S Douglas Rd
Ste 907
Coral Gables, FL 33134

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": "1155168000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1694390400000",
    "number": "1952312415",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2600 S DOUGLAS RD STE 906",
            "city": "CORAL GABLES",
            "state": "FL",
            "postal_code": "331346142",
            "telephone_number": "305-998-2970",
            "fax_number": "305-374-5551"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2600 S DOUGLAS RD STE 906",
            "city": "CORAL GABLES",
            "state": "FL",
            "postal_code": "331346142",
            "telephone_number": "305-998-2970",
            "fax_number": "305-374-5551"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARCUS",
        "first_name": "GINA",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-10",
        "last_updated": "2023-09-11",
        "certification_date": "2023-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "FL",
            "license": "DN 16388",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DENTAL",
            "identifier": "1598841496",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Coral Gables, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2023; 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.