Active NPI
Jeffrey Metcalfe, DDS
- Dentist
- Boca Raton, FL
National Provider Identifier
1699046581
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- DN0012754
- Practice address
- 951 Broken Sound Pkwy NW Ste 259
Boca Raton, FL 33487-3507 - Phone
- (386) 775-3003
- NPI assigned
- Jan 24, 2012
- Last updated
- Mar 21, 2022
- 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 | DN0012754 | FL | Primary |
Addresses
Primary practice location
951 Broken Sound Pkwy NW Ste 259
Boca Raton, FL 33487-3507
Mailing address
2435 S Volusia Ave
D-2
Orange City, FL 32763-7643
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 |
|---|---|---|---|
| DN0012754 | FL | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Main Street Children's Dentistry and Orthodontics of Orange City, P.a. | Dentist | Past | Accepting new patients |
| Advanced Dental Care of Orange City P.a. | Dentist | Past | Accepting new patients |
Networks
- Freedom Health HMO Network
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Dentist
- Orange City, FL
- NPI 1427182369
-
- Pediatric Dentistry
- Orange City, FL
- NPI 1124393822
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1327363200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1647820800000",
"number": "1699046581",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2435 S VOLUSIA AVE",
"address_2": "D-2",
"city": "ORANGE CITY",
"state": "FL",
"postal_code": "327637643"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "951 BROKEN SOUND PKWY NW STE 259",
"city": "BOCA RATON",
"state": "FL",
"postal_code": "334873507",
"telephone_number": "386-775-3003"
}
],
"practiceLocations": [],
"basic": {
"last_name": "METCALFE",
"first_name": "JEFFREY",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2012-01-24",
"last_updated": "2022-03-21",
"certification_date": "2022-03-21",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "FL",
"license": "DN0012754",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Boca Raton, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.