NPIMap

Organization Active NPI

Shorelinesmiles PA

  • Dentist
  • Jupiter, FL
National Provider Identifier
1922405901
Registry record updated Nov 19, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
DN16427 Issued in FL
Legal business name
SHORELINESMILES PA
Practice address
1230 W Indiantown Rd
Suite 101
Jupiter, FL 33458-3904
Phone
(561) 743-8877
NPI assigned
Nov 19, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 19, 2014

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

Authorized official

Name
Jeff V. Riso, DDS
Title
Owner
Phone
(561) 743-8877

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X DN16427 FL Primary

Addresses

Primary practice location

1230 W Indiantown Rd
Suite 101
Jupiter, FL 33458-3904

Mailing address

1230 W Indiantown Rd
Suite 101
Jupiter, FL 33458-8825
Phone (561) 743-8877

National Provider Directory

National Provider Directory

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": "1416355200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1416355200000",
    "number": "1922405901",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1230 W INDIANTOWN RD",
            "address_2": "SUITE 101",
            "city": "JUPITER",
            "state": "FL",
            "postal_code": "334588825",
            "telephone_number": "561-743-8877"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1230 W INDIANTOWN RD",
            "address_2": "SUITE 101",
            "city": "JUPITER",
            "state": "FL",
            "postal_code": "334583904",
            "telephone_number": "561-743-8877"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHORELINESMILES PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-11-19",
        "last_updated": "2014-11-19",
        "status": "A",
        "authorized_official_last_name": "RISO",
        "authorized_official_first_name": "JEFF",
        "authorized_official_middle_name": "V.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "561-743-8877",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "FL",
            "license": "DN16427",
            "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 Nov 19, 2014; 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.