Individual provider Active NPI

Stuart B. Pechter, D.M.D.

  • Periodontics
  • Lantana, FL
National Provider Identifier
1285658161
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
PeriodonticsTaxonomy code 1223P0300X
License
DN0007567 Issued in FL
Practice address
1280 Lantana Rd
Suite #4
Lantana, FL 33462-1543
Phone
(561) 582-5207
Fax
(561) 582-5208
NPI assigned
Jul 26, 2006
Sex
Male
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 DN0007567 FL Primary

Addresses

Primary practice location

1280 Lantana Rd
Suite #4
Lantana, FL 33462-1543

Mailing address

1280 Lantana Rd
Suite #4
Lantana, FL 33462-1543
Phone (561) 582-5207

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
I20160426001757 FL Order and Referring Only - Oral SurgeryPractitioner - Oral Surgery 7719964337

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DN0007567FLMDPeriodontist

NPI Registry JSON

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

{
    "created_epoch": "1153872000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1285658161",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1280 LANTANA RD",
            "address_2": "SUITE #4",
            "city": "LANTANA",
            "state": "FL",
            "postal_code": "334621543",
            "telephone_number": "561-582-5207",
            "fax_number": "561-582-5208"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1280 LANTANA RD",
            "address_2": "SUITE #4",
            "city": "LANTANA",
            "state": "FL",
            "postal_code": "334621543",
            "telephone_number": "561-582-5207",
            "fax_number": "561-582-5208"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PECHTER",
        "first_name": "STUART",
        "middle_name": "B.",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-26",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0300X",
            "taxonomy_group": "",
            "desc": "Dentist, Periodontics",
            "state": "FL",
            "license": "DN0007567",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lantana, FL

Sources for this page

Verify at the official NPI Registry.