Individual provider Active NPI

Jolene O. Paramore, DMD

  • Periodontics
  • Panama City, FL
National Provider Identifier
1225151053
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
PeriodonticsTaxonomy code 1223P0300X
License
FL DN 11662 Issued in FL
Practice address
2240 W 24TH St
Panama City, FL 32405-2226
Phone
(850) 769-8277
NPI assigned
Apr 8, 2007
Sex
Female
Sole proprietor
Yes

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
Periodontics 1223P0300X FL DN 11662 FL Primary

Addresses

Primary practice location

2240 W 24TH St
Panama City, FL 32405-2226

Mailing address

2240 W 24TH St
Panama City, FL 32405-2226
Phone (850) 769-8277

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
I20141217000239 FL Order and Referring Only - Oral SurgeryPractitioner - Oral Surgery 5193048569

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
FL DN 11662FLMDPeriodontist

NPI Registry JSON

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

{
    "created_epoch": "1175990400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1225151053",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2240 W 24TH ST",
            "city": "PANAMA CITY",
            "state": "FL",
            "postal_code": "324052226",
            "telephone_number": "850-769-8277"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2240 W 24TH ST",
            "city": "PANAMA CITY",
            "state": "FL",
            "postal_code": "324052226",
            "telephone_number": "850-769-8277"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PARAMORE",
        "first_name": "JOLENE",
        "middle_name": "O.",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-04-08",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0300X",
            "taxonomy_group": "",
            "desc": "Dentist, Periodontics",
            "state": "FL",
            "license": "FL DN 11662",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Panama City, FL

Sources for this page

Verify at the official NPI Registry.