Active NPI
Wade Byron Harrouff, DDS
- Dentist
- Jupiter, FL
National Provider Identifier
1659302727
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- DN10761
- Practice address
- 6390 W Indiantown Rd Ste 32
Jupiter, FL 33458-7980 - Phone
- (561) 741-7142
- Fax
- (561) 741-7914
- NPI assigned
- Jul 6, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | DN10761 | FL | Primary |
Addresses
Primary practice location
6390 W Indiantown Rd Ste 32
Jupiter, FL 33458-7980
Mailing address
1000 N US Highway 1 Apt 615
Jupiter, FL 33477-4301
Phone (561) 262-3548
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| DN10761 | Other | FL | LICENSE # |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DN10761 | FL | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152144000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1515369600000",
"number": "1659302727",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1000 N US HIGHWAY 1 APT 615",
"city": "JUPITER",
"state": "FL",
"postal_code": "334774301",
"telephone_number": "561-262-3548"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6390 W INDIANTOWN RD STE 32",
"city": "JUPITER",
"state": "FL",
"postal_code": "334587980",
"telephone_number": "561-741-7142",
"fax_number": "561-741-7914"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HARROUFF",
"first_name": "WADE",
"middle_name": "BYRON",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-06",
"last_updated": "2018-01-08",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "FL",
"license": "DN10761",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LICENSE #",
"identifier": "DN10761",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Jupiter, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.