Jason Dale, DMD

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

License

DN21447 Issued in FL

Practice address

1928 Commerce LN Ste 1
Jupiter, FL 33458-5598

Phone

(561) 210-7333

Fax

(561) 529-2618

NPI assigned

Nov 17, 2015

Last updated

Jan 23, 2019By the provider in NPPES

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Interoperability endpoints

• Direct secure messaging: jdale173769@mhsdirect.net

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

{
    "created_epoch": "1447718400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1548201600000",
    "number": "1902270705",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "438 NE 2ND AVE",
            "city": "FT LAUDERDALE",
            "state": "FL",
            "postal_code": "333013270",
            "telephone_number": "954-683-8153"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1928 COMMERCE LN STE 1",
            "city": "JUPITER",
            "state": "FL",
            "postal_code": "334585598",
            "telephone_number": "561-210-7333",
            "fax_number": "561-529-2618"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "12634 Pines Blvd",
            "address_purpose": "LOCATION",
            "city": "Pembroke Pines",
            "state": "FL",
            "postal_code": "330271712",
            "country_code": "US",
            "telephone_number": "786-707-4302",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DALE",
        "first_name": "JASON",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-11-17",
        "last_updated": "2019-01-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "FL",
            "license": "DN 21447",
            "primary": false
        },
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "FL",
            "license": "DN21447",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "024664900",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Angela Dagrosa, AYD
• Lynne Dahlstrom, PTA
• Amanda Leigh Dailey, OT
• Julianna Dainotto
• John Donald Dalack II
• Hannah Nhat Dam, PHARMD
• Monique Damico, MSN, APRN, FNP-BC
• Dana M Goldberg MD LLC
• Perlas Filipinas Puno Dang-Awan, P.T.
• Janet Dang

• Pediatric Dentistry in Jupiter, FL
• Providers in Jupiter, FL by specialty
• Pediatric Dentistry in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.