Organization Active NPI

Dental First Care 4 PA

  • General Practice Dentistry
  • Boca Raton, FL
National Provider Identifier
1003698465
Registry record updated Oct 19, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
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

Updated by the provider on Oct 19, 2023

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)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 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 Directory

NPI 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.

Verify at the official NPI Registry.