Active NPI
Jason Charles Horwitz, D.D.S
- Dentist
- Trinity, FL
National Provider Identifier
1497962682
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- DN15177
- Practice address
- 1641 Davenport Dr
Trinity, FL 34655-4231 - Phone
- (727) 789-1980
- Fax
- (727) 789-4686
- NPI assigned
- May 17, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | DN15177 | FL | Primary |
Addresses
Primary practice location
1641 Davenport Dr
Trinity, FL 34655-4231
Mailing address
1641 Davenport Dr
Trinity, FL 34655-4231
Phone (727) 789-1980
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1179360000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1492473600000",
"number": "1497962682",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1641 DAVENPORT DR",
"city": "TRINITY",
"state": "FL",
"postal_code": "346554231",
"telephone_number": "727-789-1980",
"fax_number": "727-789-4686"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1641 DAVENPORT DR",
"city": "TRINITY",
"state": "FL",
"postal_code": "346554231",
"telephone_number": "727-789-1980",
"fax_number": "727-789-4686"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HORWITZ",
"first_name": "JASON",
"middle_name": "CHARLES",
"name_prefix": "Mr.",
"credential": "D.D.S",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-05-17",
"last_updated": "2017-04-18",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "FL",
"license": "DN15177",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Trinity, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.