Organization Active NPI

Jack B Dewey DDS PA

  • General Practice Dentistry
  • West Palm Beach, FL
National Provider Identifier
1417015769
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DN3085 Issued in FL
Legal business name
JACK B DEWEY DDS PA
Practice address
6000 South Dixie Hwy
West Palm Beach, FL 33405
Phone
(561) 582-7660
Fax
(561) 588-7316
NPI assigned
Dec 5, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Brian Curtis Dewey, DDSNPI 1497813836
Title
Pres
Phone
(561) 582-7660

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
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X DN3085 FL Primary

Addresses

Primary practice location

6000 South Dixie Hwy
West Palm Beach, FL 33405

Mailing address

6000 South Dixie Hwy
West Palm Beach, FL 33405
Phone (561) 582-7660

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1165276800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1417015769",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6000 SOUTH DIXIE HWY",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "33405",
            "telephone_number": "561-582-7660",
            "fax_number": "561-588-7316"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6000 SOUTH DIXIE HWY",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "33405",
            "telephone_number": "561-582-7660",
            "fax_number": "561-588-7316"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JACK B DEWEY DDS PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-05",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "DEWEY",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_middle_name": "CURTIS",
        "authorized_official_title_or_position": "PRES",
        "authorized_official_telephone_number": "561-582-7660",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "FL",
            "license": "DN3085",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Palm Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.