NPIMap

Organization Active NPI

Oasis Family Dental Spa, LLC

  • General Practice Dentistry
  • Jupiter, FL
National Provider Identifier
1104219344
Registry record updated Mar 12, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DN15804 Issued in FL
Legal business name
OASIS FAMILY DENTAL SPA, LLC
Practice address
1096 W Indiantown Rd
Suite #200
Jupiter, FL 33458-6800
Phone
(561) 427-0070
Fax
(561) 427-0435
NPI assigned
Mar 12, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 12, 2015

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

Authorized official

Name
Barbara Bates, D.M.D.
Title
Dentist
Phone
(561) 427-0070

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X DN15804 FL Primary

Addresses

Primary practice location

1096 W Indiantown Rd
Suite #200
Jupiter, FL 33458-6800

Mailing address

1096 W Indiantown Rd
Suite #200
Jupiter, FL 33458-6800
Phone (561) 427-0070

National Provider Directory

National Provider Directory

Locations

1096 W Indiantown Rd
Ste 200
Jupiter, FL 33458
Phone (561) 427-0070

NPI Registry JSON

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

{
    "created_epoch": "1426118400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1426118400000",
    "number": "1104219344",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1096 W INDIANTOWN RD",
            "address_2": "SUITE #200",
            "city": "JUPITER",
            "state": "FL",
            "postal_code": "334586800",
            "telephone_number": "561-427-0070",
            "fax_number": "561-427-0435"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1096 W INDIANTOWN RD",
            "address_2": "SUITE #200",
            "city": "JUPITER",
            "state": "FL",
            "postal_code": "334586800",
            "telephone_number": "561-427-0070",
            "fax_number": "561-427-0435"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OASIS FAMILY DENTAL SPA, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-03-12",
        "last_updated": "2015-03-12",
        "status": "A",
        "authorized_official_last_name": "BATES",
        "authorized_official_first_name": "BARBARA",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "561-427-0070",
        "authorized_official_credential": "D.M.D."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "FL",
            "license": "DN15804",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jupiter, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2015; 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.