Organization Active NPI

Family Dentistry of Okee, Inc.

  • General Practice Dentistry
  • Okeechobee, FL
National Provider Identifier
1629217567
Registry record updated Feb 17, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DN15040 Issued in FL
Legal business name
FAMILY DENTISTRY OF OKEE, INC.
Practice address
202 N.E. 3Rd Street
Okeechobee, FL 34972-2996
Phone
(863) 763-2765
Fax
(863) 763-9112
NPI assigned
Feb 17, 2009
Last updated
Feb 17, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 17, 2009

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

Authorized official

Name
Mrs. Jennifer Lea Laskey, DENTIST (D.M.D.)NPI 1548346620
Title
Dentist/Owner
Phone
(863) 763-2765

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X DN15040 FL Primary

Addresses

Primary practice location

202 N.E. 3Rd Street
Okeechobee, FL 34972-2996

Mailing address

202 N.E. 3Rd Street
Okeechobee, FL 34972-2996
Phone (863) 763-2765

Other identifiers 1

IdentifierTypeStateIssuer
1548346620OtherINDIVIDUAL UPIN

National Provider Directory

National Provider Directory

Locations

202 NE 3rd St
Okeechobee, FL 34972
Phone (863) 634-9091

Practitioners & affiliated clinicians

Practitioners 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1234828800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1234828800000",
    "number": "1629217567",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "202 N.E. 3RD STREET",
            "city": "OKEECHOBEE",
            "state": "FL",
            "postal_code": "349722996",
            "telephone_number": "863-763-2765",
            "fax_number": "863-763-9112"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "202 N.E. 3RD STREET",
            "city": "OKEECHOBEE",
            "state": "FL",
            "postal_code": "349722996",
            "telephone_number": "863-763-2765",
            "fax_number": "863-763-9112"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMILY DENTISTRY OF OKEE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-02-17",
        "last_updated": "2009-02-17",
        "status": "A",
        "authorized_official_last_name": "LASKEY",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_middle_name": "LEA",
        "authorized_official_title_or_position": "DENTIST/OWNER",
        "authorized_official_telephone_number": "863-763-2765",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "DENTIST (D.M.D.)"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "FL",
            "license": "DN15040",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIVIDUAL UPIN",
            "identifier": "1548346620",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Okeechobee, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 2009; 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.