Organization Active NPI

Appearance Implant and Laser Dentistry of Jupiter

  • General Practice Dentistry
  • Jupiter, FL
National Provider Identifier
1508897679
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DN10761 Issued in FL
Legal business name
APPEARANCE IMPLANT AND LASER DENTISTRY OF JUPITER
Practice address
6390 W Indiantown Rd Ste 32
Jupiter, FL 33458-7980
Phone
(561) 741-7142
Fax
(561) 741-7914
NPI assigned
Jul 6, 2006
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
Wade Byron Harrouff, DDS
Title
President
Phone
(561) 741-7142

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X DN10761 FL Primary

Addresses

Primary practice location

6390 W Indiantown Rd Ste 32
Jupiter, FL 33458-7980

Mailing address

267 River Dr
Tequesta, FL 33469-1933
Phone (561) 745-7186

Other identifiers 1

IdentifierTypeStateIssuer
DN10761OtherFLDENTAL LICENSE

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1152144000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1508897679",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "267 RIVER DR",
            "city": "TEQUESTA",
            "state": "FL",
            "postal_code": "334691933",
            "telephone_number": "561-745-7186",
            "fax_number": "561-743-8306"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6390 W INDIANTOWN RD STE 32",
            "city": "JUPITER",
            "state": "FL",
            "postal_code": "334587980",
            "telephone_number": "561-741-7142",
            "fax_number": "561-741-7914"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "APPEARANCE IMPLANT AND LASER DENTISTRY OF JUPITER",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-06",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "HARROUFF",
        "authorized_official_first_name": "WADE",
        "authorized_official_middle_name": "BYRON",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "561-741-7142",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "FL",
            "license": "DN10761",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DENTAL LICENSE",
            "identifier": "DN10761",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Jupiter, 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.