Jupiter Dental Group, PA

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

JUPITER DENTAL GROUP, PA

Practice address

175 Toney Penna Dr Ste 105
Jupiter, FL 33458-5747

Phone

(561) 745-3118

NPI assigned

Feb 10, 2012

Last updated

Aug 4, 2014By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ms. Stephanie Gomez

Title

Provider Relations Specialist

Phone

(305) 274-2499

Specialties & licenses 4

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Andres Vargas, DDS

  • General Practice Dentistry
  • Jupiter, FL
  • NPI 1861515025
  NPD (past)

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

{
    "created_epoch": "1328832000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1407110400000",
    "number": "1609149400",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13195 SW 134TH ST FL 2",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331864461"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "175 TONEY PENNA DR STE 105",
            "city": "JUPITER",
            "state": "FL",
            "postal_code": "334585747",
            "telephone_number": "561-745-3118"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JUPITER DENTAL GROUP, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-02-10",
        "last_updated": "2014-08-04",
        "status": "A",
        "authorized_official_last_name": "GOMEZ",
        "authorized_official_first_name": "STEPHANIE",
        "authorized_official_title_or_position": "PROVIDER RELATIONS SPECIALIST",
        "authorized_official_telephone_number": "305-274-2499",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "1223E0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Endodontics",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "1223P0300X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Periodontics",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1223S0112X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jupiter Cancer Institute, PA
• Jupiter Chiropractic and Sports Medicine, PLLC (Karel Lewit Clinic)
• Jupiter Chiropractic PLLC (Arise Neuromuscular)
• Jupiter Compounding LLC (Jupiter Pharmacy)
• Jupiter Concierge Family Practice
• Jupiter Drugs LLC (Jupiter Drugs)
• Jupiter Efl Imaging Center LLC (Jupiter Open Imaging Center)
• Jupiter Emergency Medical Specialist Inc
• Jupiter Eye Doctors, LLC
• Jupiter Eye Surgery Center LLC

• General Practice Dentistry in Jupiter, FL
• Providers in Jupiter, FL by specialty
• General Practice Dentistry in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2014; 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.