Individual provider Active NPI

Amber Rowe, D.D.S.

  • General Practice Dentistry
  • Fellsmere, FL
National Provider Identifier
1760937627
Registry record updated Dec 29, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DN21908 Issued in FL
Practice address
12196 County Road 512
Fellsmere, FL 32948-5463
Phone
(772) 257-8224
Fax
(772) 213-3157
NPI assigned
Aug 22, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 29, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X DN21908 FL Primary

Addresses

Primary practice location

12196 County Road 512
Fellsmere, FL 32948-5463

Mailing address

1545 9TH St SW
Vero Beach, FL 32962-4312
Phone (772) 257-8224

Other practice location 1

6315 Jonathan Francis SR Rd
Saint Helena Island, SC 29920-5310
Phone (843) 838-2086

Other practice location 2

1545 9th St SW
Vero Beach, FL 32962-4312
Phone (772) 257-8224

Other practice location 3

1955 21st Ave
Vero Beach, FL 32960-3091
Phone (772) 257-8224

Other identifiers 1

IdentifierTypeStateIssuer
DN21908OtherFLSTATE LICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC
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

Enrollment IDStateProvider typePAC IDDetails
I20161219002489 SC Practitioner - Oral Surgery 8729369343 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
8764SCMDProfessional Counselor
DN21908FLMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Smiles on Hampton LLC General Practice Current Accepting new patients
Beaufort Jasper Hampton Comprehensive Health Services, Inc. CurrentSince Oct 1, 2016 Accepting new patients

Locations

721 Okatie Hwy
Okatie, SC 29909

6315 Jonathan Francis SR Rd
St Helena Is, SC 29920
Phone (843) 322-1872

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": "1471824000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1546041600000",
    "number": "1760937627",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1545 9TH ST SW",
            "city": "VERO BEACH",
            "state": "FL",
            "postal_code": "329624312",
            "telephone_number": "772-257-8224",
            "fax_number": "772-213-3157"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12196 COUNTY ROAD 512",
            "city": "FELLSMERE",
            "state": "FL",
            "postal_code": "329485463",
            "telephone_number": "772-257-8224",
            "fax_number": "772-213-3157"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6315 Jonathan Francis SR Rd",
            "address_purpose": "LOCATION",
            "city": "Saint Helena Island",
            "state": "SC",
            "postal_code": "299205310",
            "country_code": "US",
            "telephone_number": "843-838-2086",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1545 9th St SW",
            "address_purpose": "LOCATION",
            "city": "Vero Beach",
            "state": "FL",
            "postal_code": "329624312",
            "country_code": "US",
            "telephone_number": "772-257-8224",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1955 21st Ave",
            "address_purpose": "LOCATION",
            "city": "Vero Beach",
            "state": "FL",
            "postal_code": "329603091",
            "country_code": "US",
            "telephone_number": "772-257-8224",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ROWE",
        "first_name": "AMBER",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-08-22",
        "last_updated": "2018-12-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "FL",
            "license": "DN21908",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "DN21908",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fellsmere, FL

Sources for this page

Verify at the official NPI Registry.