NPIMap

Organization Active NPI

John L Izanec DDS PA

  • Dentist
  • Tavernier, FL
National Provider Identifier
1003037532
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
DN 6839 Issued in FL
Legal business name
JOHN L IZANEC DDS PA
Practice address
91750 Overseas Hwy
Tavernier, FL 33070
Phone
(305) 852-3219
Fax
(305) 852-9016
NPI assigned
May 1, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. John Louis Izanec, DDS
Title
President
Phone
(305) 852-3219

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X DN 6839 FL Primary

Addresses

Primary practice location

91750 Overseas Hwy
Tavernier, FL 33070

Mailing address

PO 639
Tavernier, FL 33070
Phone (305) 852-3219

National Provider Directory

National Provider Directory

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1177977600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1003037532",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO 639",
            "city": "TAVERNIER",
            "state": "FL",
            "postal_code": "33070",
            "telephone_number": "305-852-3219",
            "fax_number": "305-852-9016"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "91750 OVERSEAS HWY",
            "city": "TAVERNIER",
            "state": "FL",
            "postal_code": "33070",
            "telephone_number": "305-852-3219",
            "fax_number": "305-852-9016"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOHN L IZANEC DDS PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-01",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "IZANEC",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "LOUIS",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "305-852-3219",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "FL",
            "license": "DN 6839",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tavernier, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.