John Edward Purpura, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DN23539 Issued in FL

Practice address

1645 E Highway 50 Ste 100
Clermont, FL 34711-5199

Phone

(352) 242-6222

NPI assigned

Apr 29, 2008

Last updated

Dec 18, 2019By the provider in NPPES

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

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

Medicare enrollment (NPD)

Enrolled

Networks

• Freedom Health HMO Network

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

{
    "created_epoch": "1209427200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1576627200000",
    "number": "1255506218",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1645 E HIGHWAY 50 STE 100",
            "city": "CLERMONT",
            "state": "FL",
            "postal_code": "347115199",
            "telephone_number": "352-242-6222"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1645 E HIGHWAY 50 STE 100",
            "city": "CLERMONT",
            "state": "FL",
            "postal_code": "347115199",
            "telephone_number": "352-242-6222"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PURPURA",
        "first_name": "JOHN",
        "middle_name": "EDWARD",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-04-29",
        "last_updated": "2019-12-18",
        "certification_date": "2019-12-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "FL",
            "license": "DN23539",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Yana Puckett, M.D.
• Cesar Andres Pumariega, RPH
• Krista Punto, APRN
• Pure Health Primary Care Clinic LLC (Pure Health Primary Care Clinic)
• Beverly Puritz, OTR
• Scott Purrone, PA-C
• Jennine Lenore Putnick, MD
• Evangeline Quines Puzon, PT, DPT
• Aurora Queckboerner
• Tiffany Leigh Quinn

• General Practice Dentistry in Clermont, FL
• Providers in Clermont, 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 18, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.