Active NPI
Dental First Care 4 PA
- General Practice Dentistry
- Boca Raton, FL
National Provider Identifier
1003698465
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- Legal business name
- DENTAL FIRST CARE 4 PA
- Practice address
- 9789 Glades Rd
Boca Raton, FL 33434-3916 - Phone
- (954) 905-6633
- NPI assigned
- Oct 19, 2023
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Rodolfo Olmos
- Title
- Owner
- Phone
- (954) 905-6633
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | Primary |
Addresses
Primary practice location
9789 Glades Rd
Boca Raton, FL 33434-3916
Mailing address
9789 Glades Rd
Boca Raton, FL 33434-3916
Phone (954) 905-6633
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1697673600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1697673600000",
"number": "1003698465",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9789 GLADES RD",
"city": "BOCA RATON",
"state": "FL",
"postal_code": "334343916",
"telephone_number": "954-905-6633"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9789 GLADES RD",
"city": "BOCA RATON",
"state": "FL",
"postal_code": "334343916",
"telephone_number": "954-905-6633"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DENTAL FIRST CARE 4 PA",
"organizational_subpart": "NO",
"enumeration_date": "2023-10-19",
"last_updated": "2023-10-19",
"certification_date": "2023-10-19",
"status": "A",
"authorized_official_last_name": "OLMOS",
"authorized_official_first_name": "RODOLFO",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "954-905-6633"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Dentist, General Practice",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Boca Raton, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.