Active NPI
Janice M Master, D.D.S.
- Endodontics
- Stuart, FL
National Provider Identifier
1831219070
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Endodontics
- License
- DN16571
- Practice address
- 2830 SE Federal Hwy
Stuart, FL 34994-5738 - Phone
- (772) 219-2224
- Fax
- (772) 219-2216
- NPI assigned
- Mar 30, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Endodontics | 1223E0200X | DN16571 | FL | Primary |
Addresses
Primary practice location
2830 SE Federal Hwy
Stuart, FL 34994-5738
Mailing address
610 Clematis St
Apt. 717
West Palm Beach, FL 33401-5398
Phone (561) 277-7258
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 |
|---|---|---|---|
| DN16571 | FL | MD | Endodontist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Elizabeth M Rene PA | Endodontics | Past | Accepting new patients |
| Center for Specialized Dentistry, LLC | Endodontics | Past | Accepting new patients |
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": "1175212800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1831219070",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "610 CLEMATIS ST",
"address_2": "APT. 717",
"city": "WEST PALM BEACH",
"state": "FL",
"postal_code": "334015398",
"telephone_number": "561-277-7258"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2830 SE FEDERAL HWY",
"city": "STUART",
"state": "FL",
"postal_code": "349945738",
"telephone_number": "772-219-2224",
"fax_number": "772-219-2216"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MASTER",
"first_name": "JANICE",
"middle_name": "M",
"name_prefix": "Dr.",
"credential": "D.D.S.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-03-30",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1223E0200X",
"taxonomy_group": "",
"desc": "Dentist, Endodontics",
"state": "FL",
"license": "DN16571",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Stuart, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.