Active NPI
Michael Starr, DMD
- Dentist
- Wellington, FL
National Provider Identifier
1942601372
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- DN20650
- Practice address
- 1200 Corporate Center Way Ste 103
Wellington, FL 33414-8594 - Phone
- (561) 798-0100
- Fax
- (561) 798-0536
- NPI assigned
- Sep 4, 2014
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | DN20650 | FL | Primary |
Addresses
Primary practice location
1200 Corporate Center Way Ste 103
Wellington, FL 33414-8594
Mailing address
1200 Corporate Center Way Ste 103
Wellington, FL 33414-8594
Phone (561) 798-0100
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
| License | State | Type | Specialty |
|---|---|---|---|
| DN20650 | FL | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Starr Family Dentistry, PA | 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.
-
- Dental Clinic/Center
- Wellington, FL
- NPI 1558775155
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1409788800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1473206400000",
"number": "1942601372",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1200 CORPORATE CENTER WAY STE 103",
"city": "WELLINGTON",
"state": "FL",
"postal_code": "334148594",
"telephone_number": "561-798-0100",
"fax_number": "561-798-0536"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1200 CORPORATE CENTER WAY STE 103",
"city": "WELLINGTON",
"state": "FL",
"postal_code": "334148594",
"telephone_number": "561-798-0100",
"fax_number": "561-798-0536"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STARR",
"first_name": "MICHAEL",
"name_prefix": "Dr.",
"credential": "DMD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2014-09-04",
"last_updated": "2016-09-07",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "FL",
"license": "DN20650",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Wellington, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.