Elizabeth Ashley Pare, D.M.D.

Primary specialty

DentistTaxonomy code 122300000X

License

DN19911 Issued in FL

Practice address

150 SW Chamber CT
Suite 201
Port St Lucie, FL 34986-3413

Phone

(772) 335-0993

Fax

(772) 335-8192

NPI assigned

Sep 27, 2012

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1348704000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1354752000000",
    "number": "1356692560",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "150 SW CHAMBER CT",
            "address_2": "SUITE 201",
            "city": "PORT ST LUCIE",
            "state": "FL",
            "postal_code": "349863413",
            "telephone_number": "772-336-8478",
            "fax_number": "877-770-0949"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "150 SW CHAMBER CT",
            "address_2": "SUITE 201",
            "city": "PORT ST LUCIE",
            "state": "FL",
            "postal_code": "349863413",
            "telephone_number": "772-335-0993",
            "fax_number": "772-335-8192"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PARE",
        "first_name": "ELIZABETH",
        "middle_name": "ASHLEY",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-09-27",
        "last_updated": "2012-12-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "FL",
            "license": "DN19911",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Dentist in Port St Lucie, FL
• Providers in Port St Lucie, FL by specialty
• Dentist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.