Jeffrey Abettan

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DN27806 Issued in FL

Practice address

1955 21St Ave
Vero Beach, FL 32960-3091

Phone

(772) 257-8224

Fax

(772) 252-3245

NPI assigned

Jul 24, 2023

Last updated

Jan 16, 2025By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 2

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

Practice roles

Locations

Networks

• Freedom Health HMO Network

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Airway & Sleep Solutions Inc

  dba Airway & Sleep Solutions of Vero Beach

  • General Practice Dentistry
  • Vero Beach, FL
  • NPI 1093513426
  NPD

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

{
    "created_epoch": "1690156800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736985600000",
    "number": "1407536592",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1555 INDIAN RIVER BLVD STE B210",
            "city": "VERO BEACH",
            "state": "FL",
            "postal_code": "329607113",
            "telephone_number": "772-257-8224",
            "fax_number": "772-252-3245"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1955 21ST AVE",
            "city": "VERO BEACH",
            "state": "FL",
            "postal_code": "329603091",
            "telephone_number": "772-257-8224",
            "fax_number": "772-252-3245"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2980 9th St SW Ste 102",
            "address_purpose": "LOCATION",
            "city": "Vero Beach",
            "state": "FL",
            "postal_code": "329684110",
            "country_code": "US",
            "telephone_number": "772-567-1011",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ABETTAN",
        "first_name": "JEFFREY",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2023-07-24",
        "last_updated": "2025-01-16",
        "certification_date": "2025-01-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "FL",
            "license": "DN27806",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "123431100",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL LICENSE",
            "identifier": "DN27806",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Aaron's Hearing Aid & Audiology Center, Inc. (Aaron's Hearing Care)
• Jessica Abadia, MSW
• Abc Intervention Services, Inc.
• Moaaz Abdelrashid, MD
• Ronaldo Guevarra Abenoja, PHYSICAL THERAPIST
• Abl Integrated Health Center Vero, PA
• Jennie Abraham
• Absolute Complementary Medicine LLC
• Absolute Integrated Medicine, Inc
• Academy of Healing Arts, Inc

• General Practice Dentistry in Vero Beach, FL
• Providers in Vero Beach, FL by specialty
• General Practice Dentistry in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 2025; 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.