Individual provider Active NPI

Jeffrey Alan Starkman, DMD

  • Periodontics
  • Plantation, FL
National Provider Identifier
1861582819
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
PeriodonticsTaxonomy code 1223P0300X
License
DN16223 Issued in FL
Practice address
10709 NW 12TH Dr
Plantation, FL 33322-6977
Phone
(954) 423-1433
NPI assigned
Oct 13, 2006
Sex
Male
Sole proprietor
Yes

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
Periodontics 1223P0300X DN16223 FL Primary

Addresses

Primary practice location

10709 NW 12TH Dr
Plantation, FL 33322-6977

Mailing address

10709 NW 12TH Dr
Plantation, FL 33322-6977
Phone (954) 423-1433

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
I20180731002809 FL Order and Referring Only - Oral SurgeryPractitioner - Oral Surgery 4082962519

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DN16223FLMDPeriodontist

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1160697600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1861582819",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10709 NW 12TH DR",
            "city": "PLANTATION",
            "state": "FL",
            "postal_code": "333226977",
            "telephone_number": "954-423-1433"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10709 NW 12TH DR",
            "city": "PLANTATION",
            "state": "FL",
            "postal_code": "333226977",
            "telephone_number": "954-423-1433"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STARKMAN",
        "first_name": "JEFFREY",
        "middle_name": "ALAN",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-13",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0300X",
            "taxonomy_group": "",
            "desc": "Dentist, Periodontics",
            "state": "FL",
            "license": "DN16223",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Plantation, FL

Sources for this page

Verify at the official NPI Registry.