Active NPI
Alfredo Jose Fernandez, DMD
- Periodontics
- Delray Beach, FL
National Provider Identifier
1730118605
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Periodontics
- License
- 12894
- Practice address
- 3911 W Atlantic Ave
Delray Beach, FL 33445-3902 - Phone
- (561) 498-0050
- Fax
- (561) 498-0841
- NPI assigned
- Jul 2, 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 |
|---|---|---|---|---|
| Periodontics | 1223P0300X | 12894 | FL | Primary |
Addresses
Primary practice location
3911 W Atlantic Ave
Delray Beach, FL 33445-3902
Mailing address
6199 Winding Lake Dr
Jupiter, FL 33458-3779
Phone (561) 422-6577
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 |
|---|---|---|---|
| 12894 | FL | MD | Periodontist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151798400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658361600000",
"number": "1730118605",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6199 WINDING LAKE DR",
"city": "JUPITER",
"state": "FL",
"postal_code": "334583779",
"telephone_number": "561-422-6577",
"fax_number": "561-422-8595"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3911 W ATLANTIC AVE",
"city": "DELRAY BEACH",
"state": "FL",
"postal_code": "334453902",
"telephone_number": "561-498-0050",
"fax_number": "561-498-0841"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FERNANDEZ",
"first_name": "ALFREDO",
"middle_name": "JOSE",
"name_prefix": "Dr.",
"credential": "DMD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-02",
"last_updated": "2022-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "1223P0300X",
"taxonomy_group": "",
"desc": "Dentist, Periodontics",
"state": "FL",
"license": "12894",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Delray Beach, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 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.