Individual provider Active NPI

James William Betancourt, DMD, MS

  • Dentist
  • Vero Beach, FL
National Provider Identifier
1154448629
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
6817 Issued in KY
Practice address
70 Royal Palm PT
Suite B
Vero Beach, FL 32960-5200
Phone
(772) 567-5981
Fax
(772) 567-5011
NPI assigned
Mar 22, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 3201 SC
Dentist 122300000X 6817 KY Primary
Periodontics 1223P0300X DN13450 FL

Addresses

Primary practice location

70 Royal Palm PT
Suite B
Vero Beach, FL 32960-5200

Mailing address

70 Royal Palm PT
Suite B
Vero Beach, FL 32960-5200
Phone (772) 567-5981

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
I20140930001757 FL Order and Referring Only - Oral SurgeryPractitioner - Oral Surgery 7012137862

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
6817KYMDClinical Social Worker
DN13450FLMDPeriodontist
3201SCMDPhysical Therapist

NPI Registry JSON

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

{
    "created_epoch": "1174521600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757548800000",
    "number": "1154448629",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "70 ROYAL PALM PT",
            "address_2": "SUITE B",
            "city": "VERO BEACH",
            "state": "FL",
            "postal_code": "329605200",
            "telephone_number": "772-567-5981",
            "fax_number": "772-567-5011"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "70 ROYAL PALM PT",
            "address_2": "SUITE B",
            "city": "VERO BEACH",
            "state": "FL",
            "postal_code": "329605200",
            "telephone_number": "772-567-5981",
            "fax_number": "772-567-5011"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BETANCOURT",
        "first_name": "JAMES",
        "middle_name": "WILLIAM",
        "credential": "DMD, MS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-03-22",
        "last_updated": "2025-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "SC",
            "license": "3201",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "KY",
            "license": "6817",
            "primary": true
        },
        {
            "code": "1223P0300X",
            "taxonomy_group": "",
            "desc": "Dentist, Periodontics",
            "state": "FL",
            "license": "DN13450",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Vero Beach, FL

Sources for this page

Verify at the official NPI Registry.