NPIMap

Individual provider Active NPI

Brian Joseph Dimeo, DDS

  • Dentist
  • Jupiter, FL
National Provider Identifier
1215059035
Registry record updated Apr 20, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
P44261 Issued in NY
Practice address
200 S Central Blvd
Suite a
Jupiter, FL 33458-8819
Phone
(315) 521-8078
NPI assigned
Apr 4, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 20, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X P44261 NY Primary

Addresses

Primary practice location

200 S Central Blvd
Suite a
Jupiter, FL 33458-8819

Mailing address

7659 Pelican Pointe Dr
Jensen Beach, FL 34957-2002
Phone (315) 521-8078

Other identifiers 2

IdentifierTypeStateIssuer
DN 18566OtherFLFL LICENSE NUMBER
P44261OtherNYNY STATE PERMIT NUMBER

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
P44261NYMDDentist

NPI Registry JSON

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

{
    "created_epoch": "1175644800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1303257600000",
    "number": "1215059035",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7659 PELICAN POINTE DR",
            "city": "JENSEN BEACH",
            "state": "FL",
            "postal_code": "349572002",
            "telephone_number": "315-521-8078"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 S CENTRAL BLVD",
            "address_2": "SUITE A",
            "city": "JUPITER",
            "state": "FL",
            "postal_code": "334588819",
            "telephone_number": "315-521-8078"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIMEO",
        "first_name": "BRIAN",
        "middle_name": "JOSEPH",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-04-04",
        "last_updated": "2011-04-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NY",
            "license": "P44261",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FL LICENSE NUMBER",
            "identifier": "DN 18566",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NY STATE PERMIT NUMBER",
            "identifier": "P44261",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Jupiter, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2011; 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.