Active NPI
Melissa Spaeth
- Dentist
- Palm Beach Gardens, FL
National Provider Identifier
1134847114
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 27122
- Practice address
- 10625 N Military TRL Ste 205
Palm Beach Gardens, FL 33410-6552 - Phone
- (561) 627-2649
- NPI assigned
- Aug 16, 2022
- Sex
- Female
- 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 | 27122 | FL | Primary |
Addresses
Primary practice location
10625 N Military TRL Ste 205
Palm Beach Gardens, FL 33410-6552
Mailing address
4515 Main St Apt 3062
Jupiter, FL 33458-5335
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 |
|---|---|---|---|
| 27122 | FL | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1660608000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1660608000000",
"number": "1134847114",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4515 MAIN ST APT 3062",
"city": "JUPITER",
"state": "FL",
"postal_code": "334585335"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10625 N MILITARY TRL STE 205",
"city": "PALM BEACH GARDENS",
"state": "FL",
"postal_code": "334106552",
"telephone_number": "561-627-2649"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SPAETH",
"first_name": "MELISSA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2022-08-16",
"last_updated": "2022-08-16",
"certification_date": "2022-08-16",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "FL",
"license": "27122",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Palm Beach Gardens, FL
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- South Florida Orthopaedics & Sports Medicine, PA
- South Florida Radiation Oncology LLC
- South Florida Surgical Specialists, LLC
- Southeast University Physicians PLLC
- Christal Elise Spears
- Special Kids Speech, LLC
- Specialized Aesthetics, P.a.
- Spectrum Recovery Services, LLC
- Raquel Sperry
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.