Individual provider Active NPI

Juan E. Savelli, DMD, MSD

  • Endodontics
  • Stuart, FL
National Provider Identifier
1093054405
Registry record updated Feb 5, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
EndodonticsTaxonomy code 1223E0200X
License
DN16441 Issued in FL
Practice address
900 SE Ocean Blvd. Ste. 216B
Stuart, FL 34994
Phone
(772) 223-4646
Fax
(772) 223-4545
NPI assigned
Feb 5, 2013
Last updated
Feb 5, 2013By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 5, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Endodontics 1223E0200X DN16441 FL Primary

Addresses

Primary practice location

900 SE Ocean Blvd. Ste. 216B
Stuart, FL 34994

Mailing address

900 SE Ocean Blvd Ste 216B
Stuart, FL 34994-3509
Phone (772) 223-4646

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
I20160114001956 FL Order and Referring Only - Other (Physician)Practitioner - Other (Physician) 3870896400

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Juan E Savelli DMD MSD PA Endodontics Past Accepting new patients

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": "1360022400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1360022400000",
    "number": "1093054405",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "900 SE OCEAN BLVD STE 216B",
            "city": "STUART",
            "state": "FL",
            "postal_code": "349943509",
            "telephone_number": "772-223-4646",
            "fax_number": "772-223-4545"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "900 SE OCEAN BLVD. STE. 216B",
            "city": "STUART",
            "state": "FL",
            "postal_code": "34994",
            "telephone_number": "772-223-4646",
            "fax_number": "772-223-4545"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAVELLI",
        "first_name": "JUAN",
        "middle_name": "E.",
        "name_prefix": "Dr.",
        "credential": "DMD, MSD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-02-05",
        "last_updated": "2013-02-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223E0200X",
            "taxonomy_group": "",
            "desc": "Dentist, Endodontics",
            "state": "FL",
            "license": "DN16441",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Stuart, FL

Sources for this page

Verify at the official NPI Registry.