Individual provider Active NPI

Bogdan Nicolae Negrut, DMD

  • General Practice Dentistry
  • Stuart, FL
National Provider Identifier
1942721428
Registry record updated Jul 5, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DN22863 Issued in FL
Practice address
2648 NW Federal Hwy
Stuart, FL 34994-9318
Phone
(772) 324-3414
NPI assigned
Jul 5, 2017
Last updated
Jul 5, 2017By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 5, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X DN22863 FL Primary

Addresses

Primary practice location

2648 NW Federal Hwy
Stuart, FL 34994-9318

Mailing address

2543 SW Conch Cove LN
Palm City, FL 34990-2819
Phone (954) 478-4010

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: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170831000022 FL Order and Referring Only - DentistPractitioner - Dentist 2860765542

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DN22863FLMDGeneral Practice Dentistry

NPI Registry JSON

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

{
    "created_epoch": "1499212800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1499212800000",
    "number": "1942721428",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2543 SW CONCH COVE LN",
            "city": "PALM CITY",
            "state": "FL",
            "postal_code": "349902819",
            "telephone_number": "954-478-4010"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2648 NW FEDERAL HWY",
            "city": "STUART",
            "state": "FL",
            "postal_code": "349949318",
            "telephone_number": "772-324-3414"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NEGRUT",
        "first_name": "BOGDAN",
        "middle_name": "NICOLAE",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-07-05",
        "last_updated": "2017-07-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "FL",
            "license": "DN22863",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Stuart, FL

Sources for this page

Verify at the official NPI Registry.