Individual provider Active NPI

Jussara M Morsani, D.D.S., M.S.D.

  • Endodontics
  • Palm Beach Gardens, FL
National Provider Identifier
1548476203
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
EndodonticsTaxonomy code 1223E0200X
License
DN16031 Issued in FL
Practice address
11380 Prosperity Farms Rd
Suite 214
Palm Beach Gardens, FL 33410-3474
Phone
(561) 627-9166
Fax
(561) 627-7287
NPI assigned
May 16, 2007
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Endodontics 1223E0200X DN16031 FL Primary

Addresses

Primary practice location

11380 Prosperity Farms Rd
Suite 214
Palm Beach Gardens, FL 33410-3474

Mailing address

11380 Prosperity Farms Rd
Suite 214
Palm Beach Gardens, FL 33410-3474
Phone (561) 627-9166

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150813012066 FL Order and Referring Only - Oral SurgeryPractitioner - Oral Surgery 6507171915

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": "1179273600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1548476203",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11380 PROSPERITY FARMS RD",
            "address_2": "SUITE 214",
            "city": "PALM BEACH GARDENS",
            "state": "FL",
            "postal_code": "334103474",
            "telephone_number": "561-627-9166",
            "fax_number": "561-627-7287"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11380 PROSPERITY FARMS RD",
            "address_2": "SUITE 214",
            "city": "PALM BEACH GARDENS",
            "state": "FL",
            "postal_code": "334103474",
            "telephone_number": "561-627-9166",
            "fax_number": "561-627-7287"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MORSANI",
        "first_name": "JUSSARA",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "D.D.S., M.S.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-16",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223E0200X",
            "taxonomy_group": "",
            "desc": "Dentist, Endodontics",
            "state": "FL",
            "license": "DN16031",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Palm Beach Gardens, FL

Sources for this page

Verify at the official NPI Registry.