John Fife, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DN28717 Issued in FL

Practice address

660 E Eau Gallie Blvd
Indian Harbour Beach, FL 32937-4256

Phone

(321) 777-7474

NPI assigned

Sep 27, 2019

Last updated

Dec 14, 2023By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Networks

• Freedom Health HMO Network

Interoperability endpoints

• Direct secure messaging: john.fife.p1@direct.nevadahealthcenters.nextgenshare.com

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

{
    "created_epoch": "1569542400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1702512000000",
    "number": "1609427947",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1728 HUBBARD DR",
            "city": "ROCKLEDGE",
            "state": "FL",
            "postal_code": "329553021",
            "telephone_number": "018-887-9058",
            "fax_number": "775-888-4904"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "660 E EAU GALLIE BLVD",
            "city": "INDIAN HARBOUR BEACH",
            "state": "FL",
            "postal_code": "329374256",
            "telephone_number": "321-777-7474"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FIFE",
        "first_name": "JOHN",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-09-27",
        "last_updated": "2023-12-14",
        "certification_date": "2023-12-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "FL",
            "license": "DN28717",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FLORIDA STATE DENTAL LICENSE",
            "identifier": "DN28717",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Emerge Pharmacy of Florida, Inc.
• Jennifer Ricks Ervin, ARNP
• Sara Evans, COTA/L
• Family First Counseling Services
• Bushra Ferdous, DO
• Five Star Rehabilitation and Wellness Services, LLC. (Ageility Physical Therapy Solutions at Zon Beachside)
• David Henry Flett, LMHC
• Florida Therapy Center of Indian Harbour Beach, LLC
• Frances Addeo, D.C.
• Lea Aimee Gaffen, LCSW

• General Practice Dentistry in Indian Harbour Beach, FL
• Providers in Indian Harbour Beach, 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 Dec 14, 2023; 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.