Individual provider Active NPI

Jeffrey W. Lineberry, DDS

  • General Practice Dentistry
  • Cocoa Beach, FL
National Provider Identifier
1902808082
Registry record updated Jan 27, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DN31185 Issued in FL
Practice address
4301 N Banana River Blvd
Cocoa Beach, FL 32931-3697
Phone
(321) 783-7514
NPI assigned
Jun 2, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 27, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 7148 NC
General Practice Dentistry 1223G0001X DN31185 FL Primary

Addresses

Primary practice location

4301 N Banana River Blvd
Cocoa Beach, FL 32931-3697

Mailing address

4301 N Banana River Blvd
Cocoa Beach, FL 32931-3697
Phone (321) 783-7514

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

LicenseStateTypeSpecialty
DN31185FLMDGeneral Practice Dentistry
7148NCMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Laura L. Grier, DDS, PA General Practice 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.

NPI Registry JSON

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

{
    "created_epoch": "1117670400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1769472000000",
    "number": "1902808082",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4301 N BANANA RIVER BLVD",
            "city": "COCOA BEACH",
            "state": "FL",
            "postal_code": "329313697",
            "telephone_number": "321-783-7514"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4301 N BANANA RIVER BLVD",
            "city": "COCOA BEACH",
            "state": "FL",
            "postal_code": "329313697",
            "telephone_number": "321-783-7514"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LINEBERRY",
        "first_name": "JEFFREY",
        "middle_name": "W.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-02",
        "last_updated": "2026-01-27",
        "certification_date": "2026-01-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NC",
            "license": "7148",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "FL",
            "license": "DN31185",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cocoa Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2026; 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.