Individual provider Active NPI

Amy Majzoub, DMD

  • Dentist
  • Coconut Creek, FL
National Provider Identifier
1003594391
Registry record updated Mar 25, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
28363 Issued in FL
Practice address
6532 N US Highway 441
Coconut Creek, FL 33073-3624
Phone
(954) 427-8000
NPI assigned
Jul 7, 2023
Last updated
Mar 25, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 25, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 28363 FL Primary

Addresses

Primary practice location

6532 N US Highway 441
Coconut Creek, FL 33073-3624

Mailing address

470 NE 5TH Ave Apt 3607
Fort Lauderdale, FL 33301-2406

Other practice location 1

100 Royal Palm Beach Blvd
Royal Palm Beach, FL 33411-7683
Phone (561) 331-4590

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

LicenseStateTypeSpecialty
28363FLMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Comfortable Care Dental Health Professionals, P.a. PastSince Jan 8, 2023 Accepting new patients
Comfortable Care Dental Health Professionals, P.a. PastSince Jul 9, 2023 Accepting new patients

Networks

  • FL HMO D-SNP
  • devoted network organization-84bf27aa-506a-49c4-8818-702cf5e8efb3
  • FL HMO C-SNP

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1688688000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1711324800000",
    "number": "1003594391",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "470 NE 5TH AVE APT 3607",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333012406"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6532 N US HIGHWAY 441",
            "city": "COCONUT CREEK",
            "state": "FL",
            "postal_code": "330733624",
            "telephone_number": "954-427-8000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "100 Royal Palm Beach Blvd",
            "address_purpose": "LOCATION",
            "city": "Royal Palm Beach",
            "state": "FL",
            "postal_code": "334117683",
            "country_code": "US",
            "telephone_number": "561-331-4590",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MAJZOUB",
        "first_name": "AMY",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-07-07",
        "last_updated": "2024-03-25",
        "certification_date": "2024-03-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "FL",
            "license": "28363",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Coconut Creek, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2024; 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.