Individual provider Active NPI

Jenevieve Bunassar, DMD

  • Dentist
  • Pompano Beach, FL
National Provider Identifier
1982056867
Registry record updated Jul 5, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
DN21997 Issued in FL
Practice address
1239 SW 26TH Ave
Pompano Beach, FL 33069-4311
Phone
(954) 974-2140
Fax
(954) 974-5204
NPI assigned
Jul 5, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 5, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X DN21997 FL Primary

Addresses

Primary practice location

1239 SW 26TH Ave
Pompano Beach, FL 33069-4311

Mailing address

1239 SW 26TH Ave
Pompano Beach, FL 33069-4311
Phone (954) 974-2140

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
I20170128000374 FL Order and Referring Only - DentistPractitioner - Dentist 3577845403

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Comfortable Care Dental Health Professionals, P.a. 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.

NPI Registry JSON

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

{
    "created_epoch": "1467676800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1467676800000",
    "number": "1982056867",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1239 SW 26TH AVE",
            "city": "POMPANO BEACH",
            "state": "FL",
            "postal_code": "330694311",
            "telephone_number": "954-974-2140",
            "fax_number": "954-974-5204"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1239 SW 26TH AVE",
            "city": "POMPANO BEACH",
            "state": "FL",
            "postal_code": "330694311",
            "telephone_number": "954-974-2140",
            "fax_number": "954-974-5204"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUNASSAR",
        "first_name": "JENEVIEVE",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-07-05",
        "last_updated": "2016-07-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "FL",
            "license": "DN21997",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pompano Beach, FL

Sources for this page

Verify at the official NPI Registry.