Michael Edward Degrood, D.M.D.

Primary specialty

EndodonticsTaxonomy code 1223E0200X

License

0012305 Issued in FL

Practice address

190 N Charles Richard Beall Blvd
Ste 104
Debary, FL 32713-2218

Phone

(386) 668-0999

NPI assigned

Sep 25, 2006

Last updated

Jul 21, 2008By 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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1159142400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1216598400000",
    "number": "1619078540",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "190 N CHARLES RICHARD BEALL BLVD STE 104",
            "city": "DEBARY",
            "state": "FL",
            "postal_code": "32713",
            "telephone_number": "386-668-0999"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "190 N CHARLES RICHARD BEALL BLVD",
            "address_2": "STE 104",
            "city": "DEBARY",
            "state": "FL",
            "postal_code": "327132218",
            "telephone_number": "386-668-0999"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEGROOD",
        "first_name": "MICHAEL",
        "middle_name": "EDWARD",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-25",
        "last_updated": "2008-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223E0200X",
            "taxonomy_group": "",
            "desc": "Dentist, Endodontics",
            "state": "FL",
            "license": "0012305",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Debary Chiropractic Center Corp
• Debary Dentistry LLC
• Debary Family Practice
• Debary Manor Operations LLC
• Barbara Defazzio
• Nayadit Del Toro Benitez
• Delta Health Group Inc (DeBary Manor)
• Deltona Counseling Associates, P.a.
• Krista Denoff, RBT
• Diabetic Shoe Source Inc.

• Endodontics in Debary, FL
• Providers in Debary, FL by specialty
• Endodontics in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2008; 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.