Jennifer F. Taschner, DDS, MMSC

Primary specialty

PeriodonticsTaxonomy code 1223P0300X

License

DN15879 Issued in FL

Practice address

1645 Medical LN
Fort Myers, FL 33907-1110

Phone

(239) 936-0635

Fax

(239) 936-0527

NPI assigned

Jul 7, 2008

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1215388800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1239148800000",
    "number": "1679736003",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1645 MEDICAL LN",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339071110",
            "telephone_number": "239-936-0635",
            "fax_number": "239-936-0527"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1645 MEDICAL LN",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339071110",
            "telephone_number": "239-936-0635",
            "fax_number": "239-936-0527"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TASCHNER",
        "first_name": "JENNIFER",
        "middle_name": "F.",
        "name_prefix": "Dr.",
        "credential": "DDS, MMSC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-07-07",
        "last_updated": "2009-04-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0300X",
            "taxonomy_group": "",
            "desc": "Dentist, Periodontics",
            "state": "FL",
            "license": "DN15879",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Melanie Tarabay, PA-C
• Lory Ann Taraborelli
• Target
• Monica Tarnawski Iriza, OD
• Brian C Taschner, MD
• Ronny S. Taschner, D.D.S.
• Karen Gayle Tasman, ARNP
• Taylor Tate
• Abigail Elizabeth Tattersall, PAC
• Ana Taveras Pantaleon, M.D

• Periodontics in Fort Myers, FL
• Providers in Fort Myers, FL by specialty
• Periodontics in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.