Organization Active NPI

Janely Pinero Fredrick

  • Dentist
  • Jupiter, FL
National Provider Identifier
1366994592
Registry record updated Nov 4, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
DN14108 Issued in FL
Legal business name
JANELY PINERO FREDRICK
Practice address
10156 Indiantown Rd
Jupiter, FL 33478-4707
Phone
(561) 762-0776
Fax
(561) 743-9314
NPI assigned
Nov 4, 2016
Organization subpart
Yes
Parent organization
FREDRICK DENTAL, PAAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Nov 4, 2016

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

Authorized official

Name
Dr. Janely Caridad Pinero Fredrick, DDSNPI 1821524869
Title
Dentist
Phone
(561) 743-6700

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)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X DN14108 FL Primary

Addresses

Primary practice location

10156 Indiantown Rd
Jupiter, FL 33478-4707

Mailing address

10156 Indiantown Rd
Jupiter, FL 33478-4707
Phone (561) 762-0776

National Provider Directory

National Provider Directory
Part of
Fredrick Dental PA

Locations

10156 Indiantown Rd
Jupiter, FL 33478
Phone (561) 743-6700

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

Practitioners & affiliated clinicians

Practitioners 2

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

NPI Registry JSON

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

{
    "created_epoch": "1478217600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1478217600000",
    "number": "1366994592",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10156 INDIANTOWN RD",
            "city": "JUPITER",
            "state": "FL",
            "postal_code": "334784707",
            "telephone_number": "561-762-0776",
            "fax_number": "561-743-9314"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10156 INDIANTOWN RD",
            "city": "JUPITER",
            "state": "FL",
            "postal_code": "334784707",
            "telephone_number": "561-762-0776",
            "fax_number": "561-743-9314"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JANELY PINERO FREDRICK",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "FREDRICK DENTAL, PA",
        "enumeration_date": "2016-11-04",
        "last_updated": "2016-11-04",
        "status": "A",
        "authorized_official_last_name": "PINERO FREDRICK",
        "authorized_official_first_name": "JANELY",
        "authorized_official_middle_name": "CARIDAD",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "561-743-6700",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "FL",
            "license": "DN14108",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jupiter, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2016; 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.