Joseph R Depalo, DMD

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

License

DN24713 Issued in FL

Practice address

1708 N Federal Hwy
Lake Worth, FL 33460-6668

Phone

(561) 944-6647

NPI assigned

Feb 13, 2017

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Nicholas M Kerns DDS LLC

  • Pediatric Dentistry
  • Hilliard, OH
  • NPI 1265101000
  NPD
• Childrens Dentistry PA

  • Pediatric Dentistry
  • Palm Beach Gardens, FL
  • NPI 1316094485
  NPD (past)

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

{
    "created_epoch": "1486944000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658448000000",
    "number": "1275072159",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "833 UNIVERSITY BLVD APT 303",
            "city": "JUPITER",
            "state": "FL",
            "postal_code": "334583072",
            "telephone_number": "508-596-3412"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1708 N FEDERAL HWY",
            "city": "LAKE WORTH",
            "state": "FL",
            "postal_code": "334606668",
            "telephone_number": "561-944-6647"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "700 Childrens Dr",
            "address_purpose": "LOCATION",
            "city": "Columbus",
            "state": "OH",
            "postal_code": "43205",
            "country_code": "US",
            "telephone_number": "614-722-2207",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5770 N Hamilton Rd",
            "address_purpose": "LOCATION",
            "city": "Columbus",
            "state": "OH",
            "postal_code": "432303583",
            "country_code": "US",
            "telephone_number": "614-907-4401",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "200 Village Square Xing Ste 101",
            "address_purpose": "LOCATION",
            "city": "Palm Beach Gardens",
            "state": "FL",
            "postal_code": "334104411",
            "country_code": "US",
            "telephone_number": "561-626-9887",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5138 Norwich St",
            "address_purpose": "LOCATION",
            "city": "Hilliard",
            "state": "OH",
            "postal_code": "430261442",
            "country_code": "US",
            "telephone_number": "614-876-5500",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DEPALO",
        "first_name": "JOSEPH",
        "middle_name": "R",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-02-13",
        "last_updated": "2022-07-22",
        "certification_date": "2022-07-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "OH",
            "license": "30025262",
            "primary": false
        },
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "OH",
            "license": "30025262",
            "primary": false
        },
        {
            "code": "1223P0221X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "FL",
            "license": "DN24713",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0274059",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Rosenita Delva
• Ana Gabriela Demeneghi Ludke, RD, LDN
• D'Angelo Demps
• Dennis Feinrider MD PA
• Dennis Feinrider Mdpa
• Dermatology Center of the Palm Beaches PA
• Dersa ABA LLC
• Mrugesh Desai, RPH
• Pritiben Desai
• Rhonda Ann Desousa, M.ED. CCC/SLP

• Pediatric Dentistry in Lake Worth, FL
• Providers in Lake Worth, FL by specialty
• Pediatric Dentistry in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 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.

Verify at the official NPI Registry.