Patrick Fitzgerald, D.M.D.

Primary specialty

DentistTaxonomy code 122300000X

License

DN21871 Issued in FL

Practice address

1441 Forest Hill Blvd Ste 300
West Palm Beach, FL 33406-6095

Phone

(561) 586-7502

NPI assigned

Jun 18, 2016

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Bay Implant and Perio, PLLC

  dba Bay Implant and Perio

  • Periodontics
  • Lynn Haven, FL
  • NPI 1427900356
  NPD Authorized official
• Dental Professionals of Virginia, P.C.

  dba Chesapeake Center for Complete Dentistry

  • General Practice Dentistry
  • Chesapeake, VA
  • NPI 1043600125
  NPD (past)
• Dental Professionals of Virginia, P.C.

  dba Hanbury Dental Care

  • General Practice Dentistry
  • Chesapeake, VA
  • NPI 1811406614
  NPD (past)

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

{
    "created_epoch": "1466208000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1600214400000",
    "number": "1619327830",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1185 SW 9TH RD APT 102",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "326018280"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1441 FOREST HILL BLVD STE 300",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334066095",
            "telephone_number": "561-586-7502"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FITZGERALD",
        "first_name": "PATRICK",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-06-18",
        "last_updated": "2020-09-16",
        "certification_date": "2020-09-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "FL",
            "license": "DN 21871",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "FL",
            "license": "DN21871",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Eric Stuart Fishman, M.D.
• Jere Jonathan Fitts, M.D.
• Barbara Fitz, LCSW
• Kathryn Elizabeth Fitzgerald, LCSW
• Nia S Fitzgerald, CNA
• Kaela Jean Fitzpatrick, DPT
• Five Star ABA Services Corp.
• Heather Fiveson
• Fiza Investment Inc (Windsor Court Assisted Living)
• FL Vision Care LLC

• Dentist in West Palm Beach, FL
• Providers in West Palm Beach, FL by specialty
• Dentist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2020; 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.