Active NPI
Dr Wentworth Jarrett PA
- Family Medicine Physician
- Miami, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- Legal business name
- DR WENTWORTH JARRETT PA
- Practice address
- 12955 SW 132ND St
BLDG 3B Suite 104
Miami, FL 33186-7205 - Phone
- (305) 520-5750
- Fax
- (305) 520-5754
- NPI assigned
- Sep 7, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Wentworth G Jarrett, M.D.
- Title
- Owner
- Phone
- (305) 520-5750
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | Primary |
Addresses
Primary practice location
12955 SW 132ND St
BLDG 3B Suite 104
Miami, FL 33186-7205
Mailing address
12955 SW 132ND St
BLDG 3B Suite 104
Miami, FL 33186-7205
Phone (305) 520-5750
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| D20890 | Other | FL | UPIN |
| 046128800 | Medicaid | FL | |
| 04162 | Other | FL | BC/BS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 10D0870102 | Dr Wentworth Jarrett, PA | Certificate of waiver | Oct 19, 2027 |
National Provider Directory
National Provider DirectoryLocations
12955 SW 132nd St
Ste 104
Miami, FL 33186
Phone (305) 253-4340
12955 SW 132nd St
Bldg 3B
Miami, FL 33186
Phone (305) 253-4340
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/ACHCCD
Practitioners & affiliated clinicians
Practitioners 3
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Family Medicine Physician
- Miami, FL
- NPI 1104836972
-
- Family Medicine Physician
- Miami, FL
- NPI 1134617186
-
- Adult Health Nurse Practitioner
- Miami, FL
- NPI 1528489713
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1189123200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1338940800000",
"number": "1366637951",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12955 SW 132ND ST",
"address_2": "BLDG 3B SUITE 104",
"city": "MIAMI",
"state": "FL",
"postal_code": "331867205",
"telephone_number": "305-520-5750",
"fax_number": "305-520-5754"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12955 SW 132ND ST",
"address_2": "BLDG 3B SUITE 104",
"city": "MIAMI",
"state": "FL",
"postal_code": "331867205",
"telephone_number": "305-520-5750",
"fax_number": "305-520-5754"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DR WENTWORTH JARRETT PA",
"organizational_subpart": "NO",
"enumeration_date": "2007-09-07",
"last_updated": "2012-06-06",
"status": "A",
"authorized_official_last_name": "JARRETT",
"authorized_official_first_name": "WENTWORTH",
"authorized_official_middle_name": "G",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "305-520-5750",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Family Medicine",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UPIN",
"identifier": "D20890",
"state": "FL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "046128800",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BC/BS",
"identifier": "04162",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Miami, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.