Active NPI
Livet Boffil, DMD
- Dentist
- Doral, FL
National Provider Identifier
1003487745
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 26205
- Practice address
- 10540 NW 78TH St Apt 5-410
Doral, FL 33178-6079 - Phone
- (305) 798-4583
- NPI assigned
- Jul 4, 2021
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 26205 | FL | Primary |
Addresses
Primary practice location
10540 NW 78TH St Apt 5-410
Doral, FL 33178-6079
Mailing address
10540 NW 78TH St Apt 5-410
Doral, FL 33178-6079
Phone (305) 798-4583
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 26205 | FL | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Soft Hands Dental Inc | Current | 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.
-
- General Practice Dentistry
- Wellington, FL
- NPI 1700752698
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1625356800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1625356800000",
"number": "1003487745",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10540 NW 78TH ST APT 5-410",
"city": "DORAL",
"state": "FL",
"postal_code": "331786079",
"telephone_number": "305-798-4583"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10540 NW 78TH ST APT 5-410",
"city": "DORAL",
"state": "FL",
"postal_code": "331786079",
"telephone_number": "305-798-4583"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BOFFIL",
"first_name": "LIVET",
"credential": "DMD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-07-04",
"last_updated": "2021-07-04",
"certification_date": "2021-07-04",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "FL",
"license": "26205",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Doral, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 4, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.