Organization Active NPI

Dr John P Egitto DMD, PA & Dr Michael J Egitto DDS, PA

  • General Practice Dentistry
  • North Palm Beach, FL
National Provider Identifier
1639430085
Registry record updated Jun 1, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
5685 Issued in FL
Legal business name
DR JOHN P EGITTO DMD, PA & DR MICHAEL J EGITTO DDS, PA
Practice address
860 US Highway 1
Suite 105
North Palm Beach, FL 33408-3879
Phone
(561) 622-3122
Fax
(561) 622-5743
NPI assigned
Jun 1, 2012
Last updated
Jun 1, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 1, 2012

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

Authorized official

Name
Ms. Kris McNeal
Title
Office Manager
Phone
(561) 622-3122

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 14985 FL
General Practice Dentistry 1223G0001X 5685 FL Primary

Addresses

Primary practice location

860 US Highway 1
Suite 105
North Palm Beach, FL 33408-3879

Mailing address

860 US Highway 1
Suite 105
North Palm Beach, FL 33408-3879
Phone (561) 622-3122

National Provider Directory

National Provider Directory

Locations

860 US Highway 1
Ste 105
North Palm Beach, FL 33408
Phone (561) 622-3122

Practitioners & affiliated clinicians

Practitioners 1

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": "1338508800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1338508800000",
    "number": "1639430085",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "860 US HIGHWAY 1",
            "address_2": "SUITE 105",
            "city": "NORTH PALM BEACH",
            "state": "FL",
            "postal_code": "334083879",
            "telephone_number": "561-622-3122",
            "fax_number": "561-622-5743"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "860 US HIGHWAY 1",
            "address_2": "SUITE 105",
            "city": "NORTH PALM BEACH",
            "state": "FL",
            "postal_code": "334083879",
            "telephone_number": "561-622-3122",
            "fax_number": "561-622-5743"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR JOHN P EGITTO DMD, PA & DR MICHAEL J EGITTO DDS, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-06-01",
        "last_updated": "2012-06-01",
        "status": "A",
        "authorized_official_last_name": "MCNEAL",
        "authorized_official_first_name": "KRIS",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "561-622-3122",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "FL",
            "license": "14985",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "FL",
            "license": "5685",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Palm Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 1, 2012; 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.