Active NPI
Robert Wade McRee Jr., D.D.S.
- General Practice Dentistry
- Indialantic, FL
National Provider Identifier
1265849103
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 3169
- Practice address
- 102 Tradewinds Ter
Indialantic, FL 32903-3354 - Phone
- (321) 984-2988
- Fax
- (321) 984-0464
- NPI assigned
- Jul 11, 2014
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 3169 | FL | Primary |
Addresses
Primary practice location
102 Tradewinds Ter
Indialantic, FL 32903-3354
Mailing address
102 Tradewinds Ter
Indialantic, FL 32903-3354
Phone (321) 984-2988
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
| License | State | Type | Specialty |
|---|---|---|---|
| 3169 | FL | MD | General Practice Dentistry |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1405036800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1405036800000",
"number": "1265849103",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "102 TRADEWINDS TER",
"city": "INDIALANTIC",
"state": "FL",
"postal_code": "329033354",
"telephone_number": "321-984-2988",
"fax_number": "321-984-0464"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "102 TRADEWINDS TER",
"city": "INDIALANTIC",
"state": "FL",
"postal_code": "329033354",
"telephone_number": "321-984-2988",
"fax_number": "321-984-0464"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCREE",
"first_name": "ROBERT",
"middle_name": "WADE",
"name_prefix": "Dr.",
"name_suffix": "Jr.",
"credential": "D.D.S.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2014-07-11",
"last_updated": "2014-07-11",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "FL",
"license": "3169",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Indialantic, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.