Individual provider Active NPI

Jeffrey Dach, MD

  • Public Health & General Preventive Medicine Physician
  • Davie, FL
National Provider Identifier
1942415088
Registry record updated Jan 4, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Public Health & General Preventive Medicine PhysicianTaxonomy code 2083P0901X
License
ME36470 Issued in FL
Practice address
7450 Griffin Rd Ste 190
Davie, FL 33314-4123
Phone
(954) 792-4663
Fax
(954) 792-4575
NPI assigned
May 11, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 4, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Public Health & General Preventive Medicine Physician 2083P0901X ME36470 FL Primary

Addresses

Primary practice location

7450 Griffin Rd Ste 190
Davie, FL 33314-4123

Mailing address

7450 Griffin Rd Ste 190
Davie, FL 33314-4123
Phone (954) 792-4663

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: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140529001944 FL Order and Referring Only - General PracticePractitioner - General Practice 1153544762

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
36470FLMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Radiology Associates of Hollywood, Inc. Past Accepting new patients
Radiology Associates of Hollywood, Inc. Past Accepting new patients
Mori Bean and Brooks Inc Past Accepting new patients

Organizations & group practices 3

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": "1178841600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1451865600000",
    "number": "1942415088",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7450 GRIFFIN RD STE 190",
            "city": "DAVIE",
            "state": "FL",
            "postal_code": "333144123",
            "telephone_number": "954-792-4663",
            "fax_number": "954-792-4575"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7450 GRIFFIN RD STE 190",
            "city": "DAVIE",
            "state": "FL",
            "postal_code": "333144123",
            "telephone_number": "954-792-4663",
            "fax_number": "954-792-4575"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DACH",
        "first_name": "JEFFREY",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-05-11",
        "last_updated": "2016-01-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2083P0901X",
            "taxonomy_group": "",
            "desc": "Preventive Medicine, Public Health & General Preventive Medicine",
            "state": "FL",
            "license": "ME36470",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Davie, FL

Sources for this page

Verify at the official NPI Registry.