Active NPI
Appearance Implant and Laser Dentistry of Jupiter
- General Practice Dentistry
- Jupiter, FL
National Provider Identifier
1508897679
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- DN10761
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| DN10761 | Other | FL | DENTAL LICENSE |
National Provider Directory
National Provider DirectoryNPI 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
- Lisa Anthony
- Anywhere Total Health Inc.
- Ian Ru Eugenio Aplicador, PT
- Apollo Medical Management
- Appearance Implant and Family Dentistrty
- Jason L Appel
- Michael Appelblatt, D.O.
- Raquel Appelblatt, FNP
- Aquatic & Orthopedic Rehab Specialists Limited Partnership
- Aquatic and Orthopedic Rehab Specialists Limited Partnership
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.