Organization Active NPI

Lifestyle Dental Care PLLC

  • General Practice Dentistry
  • Margate, FL
National Provider Identifier
1992358659
Registry record updated Sep 18, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
LIFESTYLE DENTAL CARE PLLC
Practice address
386 N Rock Island Rd
Margate, FL 33063-4914
Phone
(202) 681-4841
NPI assigned
Jul 22, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 18, 2019

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

Authorized official

Name
Dr. Philippe Jean, DDSNPI 1538402128
Title
Owner
Phone
(954) 669-1313

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223G0001X Primary

Addresses

Primary practice location

386 N Rock Island Rd
Margate, FL 33063-4914

Mailing address

2021 NW 136TH Ave Apt 597
Sunrise, FL 33323-5381
Phone (516) 554-7017

National Provider Directory

National Provider Directory

Locations

386 N Rock Island Rd
Margate, FL 33063
Phone (202) 681-4841

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1563753600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1568764800000",
    "number": "1992358659",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2021 NW 136TH AVE APT 597",
            "city": "SUNRISE",
            "state": "FL",
            "postal_code": "333235381",
            "telephone_number": "516-554-7017"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "386 N ROCK ISLAND RD",
            "city": "MARGATE",
            "state": "FL",
            "postal_code": "330634914",
            "telephone_number": "202-681-4841"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIFESTYLE DENTAL CARE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-07-22",
        "last_updated": "2019-09-18",
        "status": "A",
        "authorized_official_last_name": "JEAN",
        "authorized_official_first_name": "PHILIPPE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "954-669-1313",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Margate, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.