Organization Active NPI

Jet Dental of Florida PLLC

  • General Practice Dentistry
  • North Miami Beach, FL
National Provider Identifier
1770354847
Registry record updated Jan 9, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
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

Updated by the provider on Jan 9, 2024

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

Authorized official

Name
Jerry I Bratman, DDSNPI 1134317415
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)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 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 Directory

Locations

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.

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.

Verify at the official NPI Registry.