Michael Radu, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

DN11674 Issued in FL

Practice address

1865 NW Boca Raton Blvd
Ste 101
Boca Raton, FL 33432-1638

Phone

(561) 394-2668

Fax

(561) 394-7880

NPI assigned

Aug 11, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1155254400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1191369600000",
    "number": "1003827288",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1865 NW BOCA RATON BLVD",
            "address_2": "STE 101",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334321638",
            "telephone_number": "561-394-2668",
            "fax_number": "561-394-7880"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1865 NW BOCA RATON BLVD",
            "address_2": "STE 101",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334321638",
            "telephone_number": "561-394-2668",
            "fax_number": "561-394-7880"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RADU",
        "first_name": "MICHAEL",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-11",
        "last_updated": "2007-10-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "FL",
            "license": "DN11674",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Radiology and Cardiology Testing, LLC
• Radiology Services of Jupiter Medical Specialists, LLC
• Nikica Radovic
• Daniel Radu, DMD
• Kristina Radu, DMD
• Virginia Rae, M.D.
• Rafael C. Cabrera, M.D. P.a.
• Marie Eilis Tessa Onia Rafael, ARNP
• Gary Raff, B.S., RT(R), R.C.I.S
• S.M. Atiqur Rahman, MD

• 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 Oct 3, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.