Active NPI
Eliseo Fiffe, D.D.S.
- General Practice Dentistry
- Greenacres, FL
National Provider Identifier
1760737480
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- DN22223
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| DN22223 | FL | MD | General Practice Dentistry |
| 28223 | TX | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Fiffe & McIntosh Dental Care, PLLC | Current | 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.
-
- Dental Clinic/Center
- Boynton Beach, FL
- NPI 1871231548
-
- General Practice Dentistry
- Greenacres, FL
- NPI 1477031607
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.