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DR. JUAN CARLOS DE FEX DDS
NPI 1821052317
Dentist - Oral and Maxillofacial Surgery in Jackson Heights, NY

Active since April 13, 2006Opted out of Medicare · through Oct 22, 2027
74-10 35TH AVENUE, SUITE 106W, JACKSON HEIGHTS, NY 11372(718) 476-6750(718) 426-4040 Get Directions Write a Review

NPPES record last updated: July 1, 2009. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Juan Carlos De Fex Dds NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. JUAN CARLOS DE FEX DDS (NPI 1821052317) is an individual oral and maxillofacial surgery provider in Jackson Heights, New York, licensed in New York (043060) and active in the NPI registry since April 2006. He has opted out of Medicare through October 22, 2027.

NPPES Registry Identity

NPI1821052317
Entity TypeIndividualMale
Primary Taxonomy1223S0112X
Provider Legal NameDR. JUAN CARLOS DE FEXCredential: DDS
Location Address74-10 35TH AVENUE, SUITE 106WJackson Heights, NY 11372-8160
Mailing Address74-10 35th Avenue, Suite 106wJackson Heights, NY 11372-8160 · (718) 476-6750 · Fax (718) 426-4040
Phone(718) 476-6750
Fax(718) 426-4040
Sole ProprietorYes
Enumeration DateApril 13, 2006
Last NPPES UpdateJuly 1, 2009
✔ NPI 1821052317 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · Oral and Maxillofacial SurgeryDental Providers
Taxonomy Code1223S0112X
License✔ Licensed in NY · 043060
Definition
An oral and maxillofacial surgery dentist specialized in the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.
74-10 35TH AVENUE, Jackson Heights, NY 11372
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Other Identifiers 1

Medicaid01407450NY

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, BEST Life, Blue Cross and Blue Shield of Montana and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Dr. Juan Carlos De Fex Dds has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from October 22, 2021 through October 22, 2027.

Opt-Out Effective DateOctober 22, 2021
Opt-Out In Effect ThroughOctober 22, 2027Opt-out affidavits renew automatically every two years unless cancelled

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Juan De Fex's NPI number?

The NPI number for Juan De Fex is 1821052317. It was assigned to this individual provider in the NPPES registry on April 13, 2006.

Where is Juan De Fex located?

Juan De Fex practices at 74-10 35th Avenue Suite 106W, Jackson Heights, NY 11372. The listed phone number is (718) 476-6750.

What is Juan De Fex's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Oral and Maxillofacial Surgery, with taxonomy code 1223S0112X.

Is Juan De Fex enrolled in Medicare?

No. Juan De Fex has opted out of Medicare through October 22, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

What insurance does Juan De Fex accept?

Health plans from Anthem Blue Cross and Blue Shield, BEST Life, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas and 6 other insurers list Juan De Fex as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Juan De Fex was last updated on July 1, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.