Active NPI
Philippe Jean, D.D.S
- Dentist
- Boynton Beach, FL
National Provider Identifier
1538402128
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- DN22521
- Practice address
- 4756 N Congress Ave
Boynton Beach, FL 33426-7951 - Phone
- (561) 868-0900
- NPI assigned
- Apr 1, 2013
- 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 |
|---|---|---|---|---|
| Dentist | 122300000X | DN22521 | FL | Primary |
Addresses
Primary practice location
4756 N Congress Ave
Boynton Beach, FL 33426-7951
Mailing address
2021 NW 136TH Ave Apt 597
Sunrise, FL 33323-5381
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20170805000149 | FL | Order and Referring Only - Oral Surgery | 0648541888 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DN22521 | FL | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lifestyle Dental Care PLLC | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- General Practice Dentistry
- Margate, FL
- NPI 1992358659
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1364774400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1496880000000",
"number": "1538402128",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2021 NW 136TH AVE APT 597",
"city": "SUNRISE",
"state": "FL",
"postal_code": "333235381"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4756 N CONGRESS AVE",
"city": "BOYNTON BEACH",
"state": "FL",
"postal_code": "334267951",
"telephone_number": "561-868-0900"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JEAN",
"first_name": "PHILIPPE",
"credential": "D.D.S",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2013-04-01",
"last_updated": "2017-06-08",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "FL",
"license": "DN22521",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Boynton Beach, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.