Active NPI
Jonathan Freed, D.D.S.,P.A.
- General Practice Dentistry
- Ft Lauderdale, FL
National Provider Identifier
1831236231
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- DN16717
- Practice address
- 401 E Las Olas Blvd Ste 140
Ft Lauderdale, FL 33301-4226 - Phone
- (954) 524-6595
- Fax
- (954) 524-0561
- NPI assigned
- Feb 1, 2007
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | DN16717 | NY | Primary |
Addresses
Primary practice location
401 E Las Olas Blvd Ste 140
Ft Lauderdale, FL 33301-4226
Mailing address
401 E Las Olas Blvd Ste 140
Ft Lauderdale, FL 33301-4226
Phone (954) 524-6595
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
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DN16717 | NY | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dental Las Olas PA | 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.
-
- Dentist
- Fort Lauderdale, FL
- NPI 1265862593
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170288000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1831236231",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "401 E LAS OLAS BLVD STE 140",
"city": "FT LAUDERDALE",
"state": "FL",
"postal_code": "333014226",
"telephone_number": "954-524-6595",
"fax_number": "954-524-0561"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "401 E LAS OLAS BLVD STE 140",
"city": "FT LAUDERDALE",
"state": "FL",
"postal_code": "333014226",
"telephone_number": "954-524-6595",
"fax_number": "954-524-0561"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FREED",
"first_name": "JONATHAN",
"name_prefix": "Dr.",
"credential": "D.D.S.,P.A.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-02-01",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "NY",
"license": "DN16717",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Ft Lauderdale, 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.