Active NPI
Jodeci Malixi, DMD
- Dentist
- West Palm Beach, FL
National Provider Identifier
1265949903
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- DN26760
- Practice address
- 1937 N Military TRL Ste U
West Palm Beach, FL 33409-4764 - Phone
- (561) 683-7699
- NPI assigned
- Jan 3, 2018
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 0160133837 | VT | |
| General Practice Dentistry | 1223G0001X | 30.026064 | OH | |
| Dentist | 122300000X | DN26760 | FL | Primary |
Addresses
Primary practice location
1937 N Military TRL Ste U
West Palm Beach, FL 33409-4764
Mailing address
1274 Via Panzani
Boynton Beach, FL 33426-8246
Phone (802) 829-1311
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 |
|---|---|---|---|
| DN26760 | FL | MD | Dentist |
| 30.026064 | OH | MD | General Practice Dentistry |
| 0160133837 | VT | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| K&E Advanced Dentistry GPS LLC | Past | Accepting new patients | |
| Sage Dental of W. Palm Military Trail, P.a. | Dentist | Past | Accepting new patients |
Networks
- Freedom Health HMO Network
Organizations & group practices 2
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.
-
- Dentist
- West Palm Beach, FL
- NPI 1861698383
-
- Dental Clinic/Center
- Middletown, OH
- NPI 1457075418
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1514937600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1652313600000",
"number": "1265949903",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1274 VIA PANZANI",
"city": "BOYNTON BEACH",
"state": "FL",
"postal_code": "334268246",
"telephone_number": "802-829-1311"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1937 N MILITARY TRL STE U",
"city": "WEST PALM BEACH",
"state": "FL",
"postal_code": "334094764",
"telephone_number": "561-683-7699"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MALIXI",
"first_name": "JODECI",
"name_prefix": "Dr.",
"credential": "DMD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-01-03",
"last_updated": "2022-05-12",
"certification_date": "2022-05-12",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "VT",
"license": "0160133837",
"primary": false
},
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "OH",
"license": "30.026064",
"primary": false
},
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "FL",
"license": "DN26760",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in West Palm Beach, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.