Active NPI
Michael Aguirre, D.M.D.
- Oral and Maxillofacial Surgery (Dentist)
- Gainesville, FL
National Provider Identifier
1972033751
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Oral and Maxillofacial Surgery (Dentist)
- License
- DN22586
- Practice address
- 1600 SW Archer Rd # D7-6
Gainesville, FL 32610-2609 - Phone
- (352) 273-6750
- NPI assigned
- Jun 14, 2017
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | DN22586 | FL | |
| Oral and Maxillofacial Surgery (Dentist) | 1223S0112X | DN22586 | FL | Primary |
| Dentist | 122300000X | DN22586 | FL | |
| General Practice Dentistry | 1223G0001X | DN22586 | FL |
Addresses
Primary practice location
1600 SW Archer Rd # D7-6
Gainesville, FL 32610-2609
Mailing address
1600 SW Archer Rd # D7-6
Gainesville, FL 32610-0416
Phone (352) 273-6750
Other practice location 1
3540 NW 30th Blvd
Gainesville, FL 32605-2609
Phone (352) 234-0500
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20180328002545 | FL | Order and Referring Only - Dentist | 5799047908 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DN22586 | FL | MD | Student in an Organized Health Care Education/Training Program |
Practice roles (1 of 2)
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| University of Frida | Dentist | Past | Accepting new patients |
Networks
- Freedom Health HMO Network
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.
-
- Dentist
- Gainesville, FL
- NPI 1629429204
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1497398400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1588723200000",
"number": "1972033751",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1600 SW ARCHER RD # D7-6",
"city": "GAINESVILLE",
"state": "FL",
"postal_code": "326100416",
"telephone_number": "352-273-6750"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1600 SW ARCHER RD # D7-6",
"city": "GAINESVILLE",
"state": "FL",
"postal_code": "326102609",
"telephone_number": "352-273-6750"
}
],
"practiceLocations": [
{
"address_1": "3540 NW 30th Blvd",
"address_purpose": "LOCATION",
"city": "Gainesville",
"state": "FL",
"postal_code": "326052609",
"country_code": "US",
"telephone_number": "352-234-0500",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "AGUIRRE",
"first_name": "MICHAEL",
"credential": "D.M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2017-06-14",
"last_updated": "2020-05-06",
"certification_date": "2020-05-06",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "FL",
"license": "DN22586",
"primary": false
},
{
"code": "1223S0112X",
"taxonomy_group": "",
"desc": "Dentist, Oral and Maxillofacial Surgery",
"state": "FL",
"license": "DN22586",
"primary": true
},
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "FL",
"license": "DN22586",
"primary": false
},
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "FL",
"license": "DN22586",
"primary": false
}
],
"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 May 6, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.