Individual provider Active NPI

Linda Papcum Decocker, DDS

  • General Practice Dentistry
  • Navarre, FL
National Provider Identifier
1629182738
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
13624 Issued in FL
Practice address
9200 B Navarre Pkwy
Navarre Family Dentistry
Navarre, FL 32566
Phone
(850) 939-6040
Fax
(850) 939-1553
NPI assigned
Aug 18, 2006
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
General Practice Dentistry 1223G0001X 13624 FL Primary

Addresses

Primary practice location

9200 B Navarre Pkwy
Navarre Family Dentistry
Navarre, FL 32566

Mailing address

9200 B Navarre Pkwy
Navarre, FL 32566
Phone (850) 939-6040

Other names 1

  • Linda Papcum Former name

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
I20160202000954 FL Order and Referring Only - DentistPractitioner - Dentist 6204130800

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
13624FLMDGeneral Practice Dentistry

NPI Registry JSON

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

{
    "created_epoch": "1155859200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1629182738",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9200 B NAVARRE PKWY",
            "city": "NAVARRE",
            "state": "FL",
            "postal_code": "32566",
            "telephone_number": "850-939-6040"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9200 B NAVARRE PKWY",
            "address_2": "NAVARRE FAMILY DENTISTRY",
            "city": "NAVARRE",
            "state": "FL",
            "postal_code": "32566",
            "telephone_number": "850-939-6040",
            "fax_number": "850-939-1553"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DECOCKER",
        "first_name": "LINDA",
        "middle_name": "PAPCUM",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-18",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "FL",
            "license": "13624",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LINDA",
            "last_name": "PAPCUM",
            "credential": "DDS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Navarre, FL

Sources for this page

Verify at the official NPI Registry.