Individual provider Active NPI

Eliseo Fiffe, D.D.S.

  • General Practice Dentistry
  • Greenacres, FL
National Provider Identifier
1760737480
Registry record updated Oct 31, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DN22223 Issued in FL
Practice address
3098 Jog Rd.
Suite B
Greenacres, FL 33467
Phone
(786) 314-2589
Fax
(561) 838-7906
NPI assigned
Jul 18, 2012
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 31, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 28223 TX
General Practice Dentistry 1223G0001X DN22223 FL Primary

Addresses

Primary practice location

3098 Jog Rd.
Suite B
Greenacres, FL 33467

Mailing address

3098 Jog Rd.
Suite B
Greenacres, FL 33467
Phone (786) 314-2589

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

LicenseStateTypeSpecialty
DN22223FLMDGeneral Practice Dentistry
28223TXMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Fiffe & McIntosh Dental Care, PLLC CurrentSince May 29, 2022 Accepting new patients
Top Dental, PLLC General Practice Current Accepting new patients

Locations

8188 S Jog Rd
Ste 104
Boynton Beach, FL 33472
Phone (786) 314-2589

3098 S Jog Rd
Ste B
Greenacres, FL 33467
Phone (561) 838-7937

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1342569600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1540944000000",
    "number": "1760737480",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3098 JOG RD.",
            "address_2": "SUITE B",
            "city": "GREENACRES",
            "state": "FL",
            "postal_code": "33467",
            "telephone_number": "786-314-2589",
            "fax_number": "561-838-7906"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3098 JOG RD.",
            "address_2": "SUITE B",
            "city": "GREENACRES",
            "state": "FL",
            "postal_code": "33467",
            "telephone_number": "786-314-2589",
            "fax_number": "561-838-7906"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FIFFE",
        "first_name": "ELISEO",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-07-18",
        "last_updated": "2018-10-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "28223",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "FL",
            "license": "DN22223",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greenacres, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 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.

Verify at the official NPI Registry.