Active NPI
Andres Vargas, DDS
- General Practice Dentistry
- Jupiter, FL
National Provider Identifier
1861515025
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- DN 17711
- Practice address
- 175 Toney Penna Dr Ste 105
Jupiter, FL 33458-5747 - Phone
- (561) 745-3118
- NPI assigned
- Apr 10, 2007
- Sex
- Male
- 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 |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | DN 17711 | FL | Primary |
Addresses
Primary practice location
175 Toney Penna Dr Ste 105
Jupiter, FL 33458-5747
Mailing address
5806 NW Zinnia St
Port St Lucie, FL 34986
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 |
|---|---|---|---|
| DN 17711 | FL | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Main Street Orthodontics of Jupiter | Past | Accepting new patients | |
| Jupiter Dental Group, PA | General Practice | 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.
-
- General Practice Dentistry
- Jupiter, FL
- NPI 1609149400
-
- Orthodontics and Dentofacial Orthopedics Dentistry
- Jupiter, FL
- NPI 1316144355
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1176163200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1861515025",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5806 NW ZINNIA ST",
"city": "PORT ST LUCIE",
"state": "FL",
"postal_code": "34986"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "175 TONEY PENNA DR STE 105",
"city": "JUPITER",
"state": "FL",
"postal_code": "334585747",
"telephone_number": "561-745-3118"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VARGAS",
"first_name": "ANDRES",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-04-10",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "FL",
"license": "DN 17711",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Jupiter, 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.