Florida Dental Sleep Disorders, P.a.

Primary specialty

DentistTaxonomy code 122300000X

Legal business name

FLORIDA DENTAL SLEEP DISORDERS, P.A.

Practice address

2900 N Military TRL Ste 212
Boca Raton, FL 33431-6308

Phone

(561) 353-5252

NPI assigned

Jun 28, 2024

Last updated

Aug 7, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Yitta Garden, DMDNPI 1073955589

Title

Owner

Phone

(561) 400-7816

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL2 enrollments

Enrollment records 2

Other NPIs with the same Medicare PAC ID 2

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

• Florida Dental Sleep Disorders PA

  • Dentist
  • Vero Beach, FL
  • NPI 1912744616

  0749721876

  Same PAC ID
• Florida Dental Sleep Disorders, P.a.

  • Dentist
  • Melbourne, FL
  • NPI 1255178950

  0749721876

  Same PAC ID

Other NPIs on the same Medicare enrollment 2

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• Florida Dental Sleep Disorders, P.a.

  • Dentist
  • Melbourne, FL
  • NPI 1255178950

  O20240917001956

  Same enrollment
• Florida Dental Sleep Disorders, P.a.

  • Dentist
  • Boca Raton, FL
  • NPI 1619707577

  O20250505001790

  Same enrollment

Tax ID family

Florida Dental Sleep Disorders PA3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

• Florida Dental Sleep Disorders PA

  • Dentist
  • Vero Beach, FL
  • NPI 1912744616
  NPD tax ID
• Florida Dental Sleep Disorders, P.a.

  • Dentist
  • Melbourne, FL
  • NPI 1255178950
  NPD tax ID

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Yitta Levine Garden, D.M.D

  • Dentist
  • Boca Raton, FL
  • NPI 1073955589
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1719532800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1722988800000",
    "number": "1003651258",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21861 CYPRESS PALM CT",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334282938",
            "telephone_number": "561-400-7816"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2900 N MILITARY TRL STE 212",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334316308",
            "telephone_number": "561-353-5252"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FLORIDA DENTAL SLEEP DISORDERS, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-06-28",
        "last_updated": "2024-08-07",
        "certification_date": "2024-08-07",
        "status": "A",
        "authorized_official_last_name": "GARDEN",
        "authorized_official_first_name": "YITTA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "561-400-7816",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Dentist in Boca Raton, FL
• Providers in Boca Raton, FL by specialty
• Dentist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.