Individual provider Active NPI

Cesar Augusto Migliorati, D.D.S., M.S., P.HD.

  • Dentist
  • Memphis, TN
National Provider Identifier
1992810519
Registry record updated Feb 27, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
FTP659 Issued in FL
Practice address
875 Union Ave
Suite N228
Memphis, TN 38163
Phone
(901) 448-2613
Fax
(901) 448-1371
NPI assigned
Aug 21, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 27, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X FTP659 FL Primary

Addresses

Primary practice location

875 Union Ave
Suite N228
Memphis, TN 38163

Mailing address

1395 Center Dr Ste D3-9
Gainesville, FL 32610-3006
Phone (352) 294-8772

Other identifiers 1

IdentifierTypeStateIssuer
075484600MedicaidFL

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
I20031118001092 FL Practitioner - Oral Surgery 4385558717 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science, Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
FTP659FLMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Faculty Associates Incorporated Dentist CurrentSince Apr 20, 2017 Accepting new patients

Locations

1600 SW Archer Rd
Rm D26
Gainesville, FL 32610
Phone (352) 273-5380

Networks

  • Freedom Health HMO Network

Interoperability endpoints

  • Direct secure messaging: cmigliorati251371@direct.shands.ufl.edu

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": "1156118400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1582761600000",
    "number": "1992810519",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1395 CENTER DR STE D3-9",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "326103006",
            "telephone_number": "352-294-8772",
            "fax_number": "352-392-5606"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "875 UNION AVE",
            "address_2": "SUITE N228",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "38163",
            "telephone_number": "901-448-2613",
            "fax_number": "901-448-1371"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MIGLIORATI",
        "first_name": "CESAR",
        "middle_name": "AUGUSTO",
        "name_prefix": "Prof.",
        "credential": "D.D.S., M.S., P.HD.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-21",
        "last_updated": "2020-02-27",
        "certification_date": "2020-02-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "FL",
            "license": "FTP659",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "075484600",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Memphis, TN

Sources for this page

Verify at the official NPI Registry.