Individual provider Active NPI

Brian Curtis Dewey, DDS

  • General Practice Dentistry
  • West Palm Beach, FL
National Provider Identifier
1497813836
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DN10022 Issued in FL
Practice address
6000 South Dixie Hwy
West Palm Beach, FL 33405
Phone
(561) 582-7660
Fax
(561) 588-7316
NPI assigned
Dec 5, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X DN10022 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

Other practice location 1

212 S 4th St Ste 101
Grand Forks, ND 58201-4776
Phone (701) 757-2100

Other identifiers 2

IdentifierTypeStateIssuer
075076000MedicaidFL
59-1347715OtherFLFEDERAL TAX I D

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20150714001679 FL Order and Referring Only - Oral SurgeryPractitioner - Oral Surgery 0446561377

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DN10022FLMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Spectra Health Past Accepting new patients
Dixie Endodontic Specialists Inc. Past Accepting new patients
Spectra Health Past Accepting new patients
Jack B Dewey DDS PA General Practice PastSince Apr 24, 2004 Accepting new patients

Networks

  • Freedom Health HMO Network

Organizations & group practices 4

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

NPI Registry JSON

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

{
    "created_epoch": "1165276800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1497813836",
    "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"
        },
        {
            "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": [
        {
            "address_1": "212 S 4th St Ste 101",
            "address_purpose": "LOCATION",
            "city": "Grand Forks",
            "state": "ND",
            "postal_code": "582014776",
            "country_code": "US",
            "telephone_number": "701-757-2100",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DEWEY",
        "first_name": "BRIAN",
        "middle_name": "CURTIS",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-05",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "FL",
            "license": "DN10022",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "075076000",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FEDERAL TAX I D",
            "identifier": "59-1347715",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in West Palm Beach, FL

Sources for this page

Verify at the official NPI Registry.