Active NPI
Jeffrey E Fine, DMD
- General Practice Dentistry
- Livingston, TX
National Provider Identifier
1508368697
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 12577
- Practice address
- 160 Rainbow Dr # 6051
Livingston, TX 77399-1060 - Phone
- (617) 834-1330
- NPI assigned
- Mar 5, 2018
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 12577 | MA | Primary |
Addresses
Primary practice location
160 Rainbow Dr # 6051
Livingston, TX 77399-1060
Mailing address
160 Rainbow Dr # 6051
Livingston, TX 77399-1060
Phone (617) 834-1330
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 12577 | MA | MD | General Practice Dentistry |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1520208000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1520208000000",
"number": "1508368697",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "160 RAINBOW DR # 6051",
"city": "LIVINGSTON",
"state": "TX",
"postal_code": "773991060",
"telephone_number": "617-834-1330"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "160 RAINBOW DR # 6051",
"city": "LIVINGSTON",
"state": "TX",
"postal_code": "773991060",
"telephone_number": "617-834-1330"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FINE",
"first_name": "JEFFREY",
"middle_name": "E",
"name_prefix": "Dr.",
"credential": "DMD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2018-03-05",
"last_updated": "2018-03-05",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "MA",
"license": "12577",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Livingston, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.