Main Street Orthodontics of Jupiter

Primary specialty

Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X

Legal business name

MAIN STREET ORTHODONTICS OF JUPITER

Practice address

175 Toney Penna Dr Ste 105
Jupiter, FL 33458-5747

Phone

(561) 745-3118

Fax

(561) 745-2440

NPI assigned

Jul 2, 2007

Organization subpart

No

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

Authorized official

Name

Melody Parrish

Title

Director of Operations

Phone

(305) 274-2499

Specialties & licenses 1

Addresses

Tax ID family

Main Street Children'S Dentistry of Jupiter PA2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Main Street Children'S Dentistry of Jupiter, PA

  • Pediatric Dentistry
  • Jupiter, FL
  • NPI 1487766838
  NPD tax ID

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Andres Vargas, DDS

  • General Practice Dentistry
  • Jupiter, FL
  • NPI 1861515025
  NPD (past)

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

{
    "created_epoch": "1183334400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1316144355",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "175 TONEY PENNA DR STE 105",
            "city": "JUPITER",
            "state": "FL",
            "postal_code": "334585747",
            "telephone_number": "561-745-3118",
            "fax_number": "561-745-2440"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "175 TONEY PENNA DR STE 105",
            "city": "JUPITER",
            "state": "FL",
            "postal_code": "334585747",
            "telephone_number": "561-745-3118",
            "fax_number": "561-745-2440"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAIN STREET ORTHODONTICS OF JUPITER",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-02",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "PARRISH",
        "authorized_official_first_name": "MELODY",
        "authorized_official_title_or_position": "DIRECTOR OF OPERATIONS",
        "authorized_official_telephone_number": "305-274-2499"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brittany Macy, DNP
• Katherine Maczura
• Brittany Madison, NP
• Maelouise Tennant, PH.D.
• Main Street Children'S Dentistry of Jupiter, PA
• Makana Diagnostics, LLC
• Melanie Malcolm
• Malhotra Wellness Services, LLC
• Abhita Malhotra, LMHC
• Danish Fakhar Malik, MD

• Orthodontics and Dentofacial Orthopedics Dentistry in Jupiter, FL
• Providers in Jupiter, FL by specialty
• Orthodontics and Dentofacial Orthopedics Dentistry in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.