Active NPI
Jet Dental of Florida PLLC
- General Practice Dentistry
- North Miami Beach, FL
National Provider Identifier
1770354847
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- Legal business name
- JET DENTAL OF FLORIDA PLLC
- Practice address
- 3479 NE 163Rd St Ste 1184
North Miami Beach, FL 33160-4426 - Phone
- (801) 430-9262
- Fax
- (801) 430-9262
- NPI assigned
- Jan 9, 2024
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Jerry I Bratman, DDS
- Title
- Owner
- Phone
- (561) 495-8181
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | Primary | ||
| Dental Clinic/Center | 261QD0000X |
Addresses
Primary practice location
3479 NE 163Rd St Ste 1184
North Miami Beach, FL 33160-4426
Mailing address
1881 W Traverse Pkwy Ste E102
Lehi, UT 84043-5986
Phone (801) 430-9262
National Provider Directory
National Provider DirectoryLocations
3479 NE 163rd St
Ste 1184
North Miami Beach, FL 33160
1881 W Traverse Pkwy
Ste E102
Lehi, UT 84048
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Dentist
- Boynton Beach, FL
- NPI 1134317415
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1704758400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1704758400000",
"number": "1770354847",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1881 W TRAVERSE PKWY STE E102",
"city": "LEHI",
"state": "UT",
"postal_code": "840435986",
"telephone_number": "801-430-9262",
"fax_number": "801-430-9262"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3479 NE 163RD ST STE 1184",
"city": "NORTH MIAMI BEACH",
"state": "FL",
"postal_code": "331604426",
"telephone_number": "801-430-9262",
"fax_number": "801-430-9262"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "JET DENTAL OF FLORIDA PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2024-01-09",
"last_updated": "2024-01-09",
"certification_date": "2024-01-09",
"status": "A",
"authorized_official_last_name": "BRATMAN",
"authorized_official_first_name": "JERRY",
"authorized_official_middle_name": "I",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "561-495-8181",
"authorized_official_credential": "DDS"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Dentist, General Practice",
"state": null,
"license": null,
"primary": true
},
{
"code": "261QD0000X",
"taxonomy_group": "",
"desc": "Clinic/Center, Dental",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in North Miami Beach, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.