Individual provider Active NPI

Christopher Sepe, DDS

  • Dentist
  • Delray Beach, FL
National Provider Identifier
1992293641
Registry record updated Jan 17, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
DN24001 Issued in FL
Practice address
15300 S Jog Rd Ste 207
Delray Beach, FL 33446-2166
Phone
(561) 498-3181
NPI assigned
Apr 27, 2018
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 17, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X DN24001 FL Primary
Student in an Organized Health Care Education/Training Program 390200000X

Addresses

Primary practice location

15300 S Jog Rd Ste 207
Delray Beach, FL 33446-2166

Mailing address

15300 S Jog Rd Ste 207
Delray Beach, FL 33446-2166
Phone (561) 498-3181

Other practice location 1

275 Seaview Ave
Staten Island, NY 10305-1221
Phone (561) 809-5398

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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
I20190129001711 NY Order and Referring Only - DentistPractitioner - Dentist 3173860137

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DN24001FLMDDentist

Networks

  • Freedom Health HMO Network

NPI Registry JSON

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

{
    "created_epoch": "1524787200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1579219200000",
    "number": "1992293641",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15300 S JOG RD STE 207",
            "city": "DELRAY BEACH",
            "state": "FL",
            "postal_code": "334462166",
            "telephone_number": "561-498-3181"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15300 S JOG RD STE 207",
            "city": "DELRAY BEACH",
            "state": "FL",
            "postal_code": "334462166",
            "telephone_number": "561-498-3181"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "275 Seaview Ave",
            "address_purpose": "LOCATION",
            "city": "Staten Island",
            "state": "NY",
            "postal_code": "103051221",
            "country_code": "US",
            "telephone_number": "561-809-5398",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SEPE",
        "first_name": "CHRISTOPHER",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-04-27",
        "last_updated": "2020-01-17",
        "certification_date": "2020-01-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "FL",
            "license": "DN24001",
            "primary": true
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Delray Beach, FL

Sources for this page

Verify at the official NPI Registry.