Active NPI
Chase James Cerbone, DMD
- Dentist
- Port Saint Lucie, FL
National Provider Identifier
1104517143
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- DN27878
- Practice address
- 155 SW Port St Lucie Blvd
Port Saint Lucie, FL 34984-5039 - Phone
- (772) 621-2492
- NPI assigned
- May 19, 2023
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | DN27878 | FL | Primary |
Addresses
Primary practice location
155 SW Port St Lucie Blvd
Port Saint Lucie, FL 34984-5039
Mailing address
538 Rookery PL
Jupiter, FL 33458-8368
Phone (561) 319-7209
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DN27878 | FL | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1684454400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1684454400000",
"number": "1104517143",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "538 ROOKERY PL",
"city": "JUPITER",
"state": "FL",
"postal_code": "334588368",
"telephone_number": "561-319-7209"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "155 SW PORT ST LUCIE BLVD",
"city": "PORT SAINT LUCIE",
"state": "FL",
"postal_code": "349845039",
"telephone_number": "772-621-2492"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CERBONE",
"first_name": "CHASE",
"middle_name": "JAMES",
"credential": "DMD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2023-05-19",
"last_updated": "2023-05-19",
"certification_date": "2023-04-25",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "FL",
"license": "DN27878",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Port Saint Lucie, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.