Active NPI
Jupiter Family Dentistry
- Dentist
- Jupiter, FL
National Provider Identifier
1407011141
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 10203
- Legal business name
- JUPITER FAMILY DENTISTRY
- Practice address
- 6779 W Indiantown Rd
#17
Jupiter, FL 33458 - Phone
- (561) 746-2332
- Fax
- (561) 746-1815
- NPI assigned
- Jul 22, 2008
- Last updated
- Jul 22, 2008
- 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. Donald L Wolfe, DDS
- Title
- President
- Phone
- (561) 746-2332
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 |
|---|---|---|---|---|
| Dentist | 122300000X | 10203 | FL | Primary |
Addresses
Primary practice location
6779 W Indiantown Rd
#17
Jupiter, FL 33458
Mailing address
6779 W Indiantown Rd
#17
Jupiter, FL 33458
Phone (561) 746-2332
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 60589 | Other | BLUE CROSS BLUE SHEILD | |
| 443467 | Other | UNITED CONCORDIA |
National Provider Directory
National Provider DirectoryLocations
6779 W Indiantown Rd
Ste 17
Jupiter, FL 33458
Phone (561) 746-2332
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- General Practice Dentistry
- Jupiter, FL
- NPI 1356748438
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1216684800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1216684800000",
"number": "1407011141",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6779 W INDIANTOWN RD",
"address_2": "#17",
"city": "JUPITER",
"state": "FL",
"postal_code": "33458",
"telephone_number": "561-746-2332",
"fax_number": "561-746-1815"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6779 W INDIANTOWN RD",
"address_2": "#17",
"city": "JUPITER",
"state": "FL",
"postal_code": "33458",
"telephone_number": "561-746-2332",
"fax_number": "561-746-1815"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "JUPITER FAMILY DENTISTRY",
"organizational_subpart": "NO",
"enumeration_date": "2008-07-22",
"last_updated": "2008-07-22",
"status": "A",
"authorized_official_last_name": "WOLFE",
"authorized_official_first_name": "DONALD",
"authorized_official_middle_name": "L",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "561-746-2332",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DDS"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "FL",
"license": "10203",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHEILD",
"identifier": "60589",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED CONCORDIA",
"identifier": "443467",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in Jupiter, FL
- Jupiter Emergency Medical Specialist Inc
- Jupiter Eye Doctors, LLC
- Jupiter Eye Surgery Center LLC
- Jupiter Family Chiropractic
- Jupiter Family Dental PA
- Jupiter Familyhealthcare,PA
- Jupiter FL Rehab LLC
- Jupiter Foot and Ankle PA
- Jupiter Hand to Shoulder, LLC (Palm Beach Hand to Shoulder)
- Jupiter Health and Wellness, LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.