Active NPI
Asheline Marmolejos
- General Practice Dentistry
- Davie, FL
National Provider Identifier
1982392304
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- DN28454
- Practice address
- 12565 Orange Dr Ste 414
Davie, FL 33330-4310 - Phone
- (954) 382-9696
- NPI assigned
- Apr 25, 2023
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | DN28454 | FL | Primary |
Addresses
Primary practice location
12565 Orange Dr Ste 414
Davie, FL 33330-4310
Mailing address
12565 Orange Dr Ste 414
Davie, FL 33330-4310
Phone (954) 382-9696
Other practice location 1
9757 NW 41st St
Doral, FL 33178-2381
Phone (305) 477-5299
Other practice location 2
14252 SW 8th St
Miami, FL 33184-3100
Phone (305) 553-5980
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 |
|---|---|---|---|
| DN28454 | FL | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Belllo-Burgos, D.M.D. , P.a. | Past | Accepting new patients | |
| Bello-Burgos, D.M.D., D.D.S., PA | Past | Accepting new patients | |
| Oscar Gonzalez DDS PA | Past | Accepting new patients |
Organizations & group practices 3
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
- Doral, FL
- NPI 1902935570
-
- Dentist
- Miami, FL
- NPI 1851420996
-
- Dentist
- Davie, FL
- NPI 1609083542
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1682380800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1712707200000",
"number": "1982392304",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12565 ORANGE DR STE 414",
"city": "DAVIE",
"state": "FL",
"postal_code": "333304310",
"telephone_number": "954-382-9696"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12565 ORANGE DR STE 414",
"city": "DAVIE",
"state": "FL",
"postal_code": "333304310",
"telephone_number": "954-382-9696"
}
],
"practiceLocations": [
{
"address_1": "9757 NW 41st St",
"address_purpose": "LOCATION",
"city": "Doral",
"state": "FL",
"postal_code": "331782381",
"country_code": "US",
"telephone_number": "305-477-5299",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "14252 SW 8th St",
"address_purpose": "LOCATION",
"city": "Miami",
"state": "FL",
"postal_code": "331843100",
"country_code": "US",
"telephone_number": "305-553-5980",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MARMOLEJOS",
"first_name": "ASHELINE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-04-25",
"last_updated": "2024-04-10",
"certification_date": "2024-04-10",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "FL",
"license": "DN28454",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Davie, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.