Individual provider Active NPI

Jenna Katz Schwibner, D.M.D.

  • General Practice Dentistry
  • Vero Beach, FL
National Provider Identifier
1043507874
Registry record updated Jun 30, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DN19361 Issued in FL
Practice address
1225 Near Ocean Dr
Vero Beach, FL 32963-2392
Phone
(772) 559-1453
NPI assigned
Jun 30, 2011
Last updated
Jun 30, 2011By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 30, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X DN19361 FL Primary

Addresses

Primary practice location

1225 Near Ocean Dr
Vero Beach, FL 32963-2392

Mailing address

1225 Near Ocean Dr
Vero Beach, FL 32963-2392
Phone (772) 559-1453

Other names 1

  • Jenna Danielle Katz Former name

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
I20160718000755 FL Order and Referring Only - Other (Physician)Practitioner - Other (Physician) 3173815842

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Dental Partners of Vero Beach PLLC General Practice CurrentSince Oct 23, 2014 Accepting new patients
Foundation First Airway Center PLLC Current Accepting new patients

Locations

3790 7th Ter
Ste 201
Vero Beach, FL 32960
Phone (772) 569-4118

Organizations & group practices 2

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": "1309392000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1309392000000",
    "number": "1043507874",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1225 NEAR OCEAN DR",
            "city": "VERO BEACH",
            "state": "FL",
            "postal_code": "329632392",
            "telephone_number": "772-559-1453"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1225 NEAR OCEAN DR",
            "city": "VERO BEACH",
            "state": "FL",
            "postal_code": "329632392",
            "telephone_number": "772-559-1453"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHWIBNER",
        "first_name": "JENNA",
        "middle_name": "KATZ",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-06-30",
        "last_updated": "2011-06-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "FL",
            "license": "DN19361",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JENNA",
            "last_name": "KATZ",
            "middle_name": "DANIELLE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Vero Beach, FL

Sources for this page

Verify at the official NPI Registry.