Individual provider Active NPI

Harvey Jerome Adelson, DMD

  • Dentist
  • Tamarac, FL
National Provider Identifier
1205988342
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
5954 Issued in FL
Practice address
7737 N University Drive
Suite 207
Tamarac, FL 33071
Phone
(954) 721-6960
Fax
(954) 721-9067
NPI assigned
Jan 17, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 5954 FL Primary

Addresses

Primary practice location

7737 N University Drive
Suite 207
Tamarac, FL 33071

Mailing address

7737 N University Drive Tamarac FL 33071
Suite 209
Tamarac, FL 33321
Phone (954) 721-6960

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

LicenseStateTypeSpecialty
5954FLMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Dr Dental Associates PA Dentist PastSince Oct 17, 2021 Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1168992000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1205988342",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7737 N UNIVERSITY DRIVE TAMARAC FL 33071",
            "address_2": "SUITE 209",
            "city": "TAMARAC",
            "state": "FL",
            "postal_code": "33321",
            "telephone_number": "954-721-6960",
            "fax_number": "954-721-9067"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7737 N UNIVERSITY DRIVE",
            "address_2": "SUITE 207",
            "city": "TAMARAC",
            "state": "FL",
            "postal_code": "33071",
            "telephone_number": "954-721-6960",
            "fax_number": "954-721-9067"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ADELSON",
        "first_name": "HARVEY",
        "middle_name": "JEROME",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-17",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "FL",
            "license": "5954",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tamarac, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.