Deepali Nilesh Jethwa, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DN16368 Issued in FL

Practice address

1209 W Broward Blvd
Fort Lauderdale, FL 33312-1640

Phone

(954) 763-3358

NPI assigned

Jan 8, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Michael Barnard DDS PA

  • Dentist
  • Ft Lauderdale, FL
  • NPI 1427264936
  NPD (past)

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

{
    "created_epoch": "1168214400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1043368251",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20904 AVENEL RUN",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334281222",
            "telephone_number": "561-479-2817"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1209 W BROWARD BLVD",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333121640",
            "telephone_number": "954-763-3358"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JETHWA",
        "first_name": "DEEPALI",
        "middle_name": "NILESH",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-08",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "FL",
            "license": "DN16368",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jessica M Gurvit PSYD PA
• Jessica Okun, DO LLC
• Flore Marie Jesuca, ARNP
• Jetcheck 365 LLC
• David Jetha, MD
• Jessica Jette
• Michelle Judith Jeudy Olotch
• Alexis Jezak, MSN, APRN, FNP-BC
• Sally Jezdimir, M.S., CCC/SLP
• Jfrcounseling, LLC

• General Practice Dentistry in Fort Lauderdale, FL
• Providers in Fort Lauderdale, FL by specialty
• General Practice Dentistry in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.