John Michael Dellaporta, D.M.D.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DN0012307 Issued in FL

Practice address

135 Professional Dr
Suite 107
Ponte Vedra Beach, FL 32082-6276

Phone

(904) 280-4151

Fax

(904) 280-0172

NPI assigned

Jan 8, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1168214400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1450137600000",
    "number": "1194873224",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "135 PROFESSIONAL DR",
            "address_2": "SUITE 107",
            "city": "PONTE VEDRA BEACH",
            "state": "FL",
            "postal_code": "320826276",
            "telephone_number": "904-280-4151",
            "fax_number": "904-280-0172"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "135 PROFESSIONAL DR",
            "address_2": "SUITE 107",
            "city": "PONTE VEDRA BEACH",
            "state": "FL",
            "postal_code": "320826276",
            "telephone_number": "904-280-4151",
            "fax_number": "904-280-0172"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DELLAPORTA",
        "first_name": "JOHN",
        "middle_name": "MICHAEL",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-08",
        "last_updated": "2015-12-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "FL",
            "license": "DN0012307",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alyssa Leblanc Davis, CF-SLP
• Stephanie Davis
• Kristen Nicole De Bonis, D.M.D.
• Megan E Deacon-Casey, MD
• Deborah D. Hanna LCSW PA
• Desmond Bell, DPM. CWS, P.a.
• Melanie P Desmond, M.A. SLP-CCC
• Carolyn Irene Dewane, RD,LD
• Diagnostic Imaging PA
• Jorge Andres Diaz, M.D.

• General Practice Dentistry in Ponte Vedra Beach, FL
• Providers in Ponte Vedra Beach, FL by specialty
• General Practice Dentistry in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 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.