Individual provider Active NPI

Jenny L Askeland, DMD

  • General Practice Dentistry
  • Stuart, FL
National Provider Identifier
1801922810
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
14614 Issued in FL
Practice address
4831 SE Anchor Ave
Stuart, FL 34997-1905
Phone
(772) 283-0902
NPI assigned
Feb 26, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 14614 FL Primary

Addresses

Primary practice location

4831 SE Anchor Ave
Stuart, FL 34997-1905

Mailing address

4831 SE Anchor Ave
Stuart, FL 34997-1905
Phone (772) 283-0902

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20160509001172 FL Order and Referring Only - DentistPractitioner - Dentist 8224337589

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
14614FLMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Anchor Dental, PA General Practice Past Accepting new patients

Organizations & group practices 1

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": "1172448000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1801922810",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4831 SE ANCHOR AVE",
            "city": "STUART",
            "state": "FL",
            "postal_code": "349971905",
            "telephone_number": "772-283-0902"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4831 SE ANCHOR AVE",
            "city": "STUART",
            "state": "FL",
            "postal_code": "349971905",
            "telephone_number": "772-283-0902"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ASKELAND",
        "first_name": "JENNY",
        "middle_name": "L",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-26",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "FL",
            "license": "14614",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Stuart, FL

Sources for this page

Verify at the official NPI Registry.