Organization Active NPI

Jack J. Hirschfeld DDS PA

  • Oral and Maxillofacial Surgery (Dentist)
  • Palm Springs, FL
National Provider Identifier
1912299140
Registry record updated May 5, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X
License
DN9446 Issued in FL
Legal business name
JACK J. HIRSCHFELD DDS PA
Practice address
2459 S Congress Ave
Suite 206
Palm Springs, FL 33406-7616
Phone
(561) 642-1202
Fax
(561) 642-7602
NPI assigned
May 5, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 5, 2011

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

Authorized official

Name
Dr. Jack J Hirschfeld, D.D.S.
Title
President
Phone
(561) 642-1202

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Oral and Maxillofacial Surgery (Dentist)Group: 193400000X SINGLE SPECIALTY GROUP 1223S0112X DN9446 FL Primary

Addresses

Primary practice location

2459 S Congress Ave
Suite 206
Palm Springs, FL 33406-7616

Mailing address

2459 S Congress Ave
Suite 206
Palm Springs, FL 33406-7616
Phone (561) 642-1202

National Provider Directory

National Provider Directory

Locations

2459 S Congress Ave
Ste 206
Palm Springs, FL 33406
Phone (561) 469-2945

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1304553600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1304553600000",
    "number": "1912299140",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2459 S CONGRESS AVE",
            "address_2": "SUITE 206",
            "city": "PALM SPRINGS",
            "state": "FL",
            "postal_code": "334067616",
            "telephone_number": "561-642-1202",
            "fax_number": "561-642-7602"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2459 S CONGRESS AVE",
            "address_2": "SUITE 206",
            "city": "PALM SPRINGS",
            "state": "FL",
            "postal_code": "334067616",
            "telephone_number": "561-642-1202",
            "fax_number": "561-642-7602"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JACK J. HIRSCHFELD DDS PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-05-05",
        "last_updated": "2011-05-05",
        "status": "A",
        "authorized_official_last_name": "HIRSCHFELD",
        "authorized_official_first_name": "JACK",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "561-642-1202",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "FL",
            "license": "DN9446",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Palm Springs, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 2011; 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.