Individual provider Active NPI

Joseph Emanuel Pechter, D.M.D.

  • Periodontics
  • Fort Lauderdale, FL
National Provider Identifier
1023248408
Registry record updated Aug 12, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
PeriodonticsTaxonomy code 1223P0300X
License
DN18669 Issued in FL
Practice address
2699 Stirling Rd Ste C201
Fort Lauderdale, FL 33312-6557
Phone
(954) 367-3356
NPI assigned
Jul 21, 2009
Last updated
Aug 12, 2019By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 12, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 1855123 MA
Periodontics 1223P0300X DN18669 FL Primary

Addresses

Primary practice location

2699 Stirling Rd Ste C201
Fort Lauderdale, FL 33312-6557

Mailing address

2699 Stirling Rd Ste C201
Fort Lauderdale, FL 33312-6557
Phone (954) 367-3356

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.
Opted out of Medicare
Yes, effective Mar 24, 2016 through Mar 24, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
1855123MAMDDentist
DN18669FLMDPeriodontist

Practice roles

OrganizationSpecialtyStatusNew patients
Broward Periodontics and Implant Dentistry PLLC Periodontics PastSince Feb 18, 2024 Accepting new patients

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, 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": "1248134400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1565568000000",
    "number": "1023248408",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2699 STIRLING RD STE C201",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333126557",
            "telephone_number": "954-367-3356"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2699 STIRLING RD STE C201",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333126557",
            "telephone_number": "954-367-3356"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PECHTER",
        "first_name": "JOSEPH",
        "middle_name": "EMANUEL",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-07-21",
        "last_updated": "2019-08-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MA",
            "license": "1855123",
            "primary": false
        },
        {
            "code": "1223P0300X",
            "taxonomy_group": "",
            "desc": "Dentist, Periodontics",
            "state": "FL",
            "license": "DN18669",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Lauderdale, FL

Sources for this page

Verify at the official NPI Registry.