Individual provider Active NPI

John Charles Stone, DDS

  • Dentist
  • Ft Lauderdale, FL
National Provider Identifier
1336387182
Registry record updated Dec 18, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
7014 Issued in FL
Practice address
3101 N Federal Hwy
Ste 501
Ft Lauderdale, FL 33306-1018
Phone
(954) 568-9100
NPI assigned
Feb 2, 2009
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 18, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 7014 FL Primary

Addresses

Primary practice location

3101 N Federal Hwy
Ste 501
Ft Lauderdale, FL 33306-1018

Mailing address

2601E Oakland Park Blvd 501
Fort Lauderdale, FL 33306-1617
Phone (954) 568-9100

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
I20240118001175 FL Order and Referring Only - DentistPractitioner - Dentist 7012219264

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
7014FLMDDentist

NPI Registry JSON

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

{
    "created_epoch": "1233532800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1450396800000",
    "number": "1336387182",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2601E OAKLAND PARK BLVD 501",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333061617",
            "telephone_number": "954-568-9100",
            "fax_number": "954-568-9905"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3101 N FEDERAL HWY",
            "address_2": "STE 501",
            "city": "FT LAUDERDALE",
            "state": "FL",
            "postal_code": "333061018",
            "telephone_number": "954-568-9100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STONE",
        "first_name": "JOHN",
        "middle_name": "CHARLES",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-02-02",
        "last_updated": "2015-12-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "FL",
            "license": "7014",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ft Lauderdale, FL

Sources for this page

Verify at the official NPI Registry.