Organization Active NPI

Jenee Ware, DMD LLC

  • General Practice Dentistry
  • Vero Beach, FL
National Provider Identifier
1154807600
Registry record updated Jul 18, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
19761 Issued in FL
Legal business name
JENEE WARE, DMD LLC
Practice address
637 17TH St
Vero Beach, FL 32960-6236
Phone
(772) 567-2111
Fax
(772) 567-7451
NPI assigned
Jul 18, 2018
Last updated
Jul 18, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 18, 2018

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

Authorized official

Name
Patty Reyer
Title
Office Manager
Phone
(772) 567-2111

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 19761 FL Primary

Addresses

Primary practice location

637 17TH St
Vero Beach, FL 32960-6236

Mailing address

637 17TH St
Vero Beach, FL 32960-6236
Phone (772) 567-2111

National Provider Directory

National Provider Directory

Locations

637 17th St
Vero Beach, FL 32960
Phone (772) 567-2111

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1531872000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1531872000000",
    "number": "1154807600",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "637 17TH ST",
            "city": "VERO BEACH",
            "state": "FL",
            "postal_code": "329606236",
            "telephone_number": "772-567-2111",
            "fax_number": "772-567-7451"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "637 17TH ST",
            "city": "VERO BEACH",
            "state": "FL",
            "postal_code": "329606236",
            "telephone_number": "772-567-2111",
            "fax_number": "772-567-7451"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JENEE WARE, DMD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-07-18",
        "last_updated": "2018-07-18",
        "status": "A",
        "authorized_official_last_name": "REYER",
        "authorized_official_first_name": "PATTY",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "772-567-2111"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "FL",
            "license": "19761",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Vero Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2018; 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.