Individual provider Active NPI

Yamila Noriega Abreu, DMD

  • General Practice Dentistry
  • Port Charlotte, FL
National Provider Identifier
1952822546
Registry record updated May 19, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DN22839 Issued in FL
Practice address
3443 Tamiami TRL Ste F
Port Charlotte, FL 33952-8159
Phone
(941) 629-8187
Fax
(941) 629-2498
NPI assigned
Jul 4, 2017
Last updated
May 19, 2022By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 19, 2022

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 DN22839 FL Primary

Addresses

Primary practice location

3443 Tamiami TRL Ste F
Port Charlotte, FL 33952-8159

Mailing address

1636 Burgos Dr
Sarasota, FL 34238-2713
Phone (908) 910-1382

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170927001089 FL Order and Referring Only - Oral SurgeryPractitioner - Oral Surgery 4789958968

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DN22839FLMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Yamila Noriega-Abreu, DMD, PLLC CurrentSince May 22, 2022 Accepting new patients
Marshall Family Dentistry General Practice PastSince May 22, 2022 Accepting new patients

Locations

3443 Tamiami Trl
Ste F
Pt Charlotte, FL 33952
Phone (941) 629-8187

Organizations & group practices 2

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": "1499126400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1652918400000",
    "number": "1952822546",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1636 BURGOS DR",
            "city": "SARASOTA",
            "state": "FL",
            "postal_code": "342382713",
            "telephone_number": "908-910-1382"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3443 TAMIAMI TRL STE F",
            "city": "PORT CHARLOTTE",
            "state": "FL",
            "postal_code": "339528159",
            "telephone_number": "941-629-8187",
            "fax_number": "941-629-2498"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NORIEGA ABREU",
        "first_name": "YAMILA",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-07-04",
        "last_updated": "2022-05-19",
        "certification_date": "2022-05-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "FL",
            "license": "DN22839",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Port Charlotte, FL

Sources for this page

Verify at the official NPI Registry.