Family Dentistry of Lake Worth PA

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

FAMILY DENTISTRY OF LAKE WORTH PA

Practice address

6427 Lake Worth Rd
Greenacres, FL 33463-2900

Phone

(561) 649-6446

NPI assigned

Jul 17, 2019

Organization subpart

No

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

Authorized official

Name

Dr. Ilya Stein, DMD

Title

President

Phone

(305) 915-0567

Specialties & licenses 1

Addresses

Electronic endpoints 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Shanel Vazquez, DMD

  • Dentist
  • Boca Raton, FL
  • NPI 1083353452

  General Practice

  NPD (past)

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

{
    "created_epoch": "1563321600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1563321600000",
    "number": "1013560291",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11897 PRESERVATION LN",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334986231"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6427 LAKE WORTH RD",
            "city": "GREENACRES",
            "state": "FL",
            "postal_code": "334632900",
            "telephone_number": "561-649-6446"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMILY DENTISTRY OF LAKE WORTH PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-07-17",
        "last_updated": "2019-07-17",
        "status": "A",
        "authorized_official_last_name": "STEIN",
        "authorized_official_first_name": "ILYA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "305-915-0567",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "lakeworthoffice@gmail.com",
            "affiliation": "N",
            "address_1": "6427 Lake Worth Rd",
            "city": "Greenacres",
            "state": "FL",
            "country_code": "US",
            "postal_code": "334632900",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Facts, LLC
• Alicia Falcon
• Carlos Ernesto Falcon
• Family Care RX LLC
• Family Care RX, LLC
• Family Investment & Trade Corp
• Family Vision Center P.a.
• Faryal Izhar Farooqi, M.D.
• Marieline Faustin
• FCM Supply LLC

• General Practice Dentistry in Greenacres, FL
• Providers in Greenacres, FL by specialty
• General Practice Dentistry in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2019; 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.