Individual provider Active NPI

Shelly Levin-Rubin, DDS

  • Pediatric Dentistry
  • Boca Raton, FL
National Provider Identifier
1023351715
Registry record updated Feb 14, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
License
DN21753 Issued in FL
Practice address
21301 Powerline Rd Ste 208
Boca Raton, FL 33433-2390
Phone
(561) 482-8000
NPI assigned
Apr 1, 2013
Last updated
Feb 14, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 14, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Dentistry 1223P0221X DN21753 FL Primary

Addresses

Primary practice location

21301 Powerline Rd Ste 208
Boca Raton, FL 33433-2390

Mailing address

10955 Windward St
Coral Springs, FL 33076-2987
Phone (561) 899-6578

Other practice location 1

11903 Southern Blvd Ste 102
Royal Palm Beach, FL 33411-7644
Phone (614) 592-7335

Other practice location 2

4919 Sheridan St Ste 50
Hollywood, FL 33021-2823
Phone (954) 510-9898

Other practice location 3

2950 SW 8th St
Miami, FL 33135-2827
Phone (305) 456-9417

Other practice location 4

4410 W 16th Ave Ste 52
Hialeah, FL 33012-7193
Phone (305) 825-9899

Other identifiers 1

IdentifierTypeStateIssuer
100364300MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
DN21753FLMDPediatric Dentist

Practice roles

OrganizationSpecialtyStatusNew patients
Shelly Levin-Rubin PLLC Pediatric Dentistry Current Accepting new patients
Shelly Levin PLLC Pediatric Dentistry CurrentSince Nov 22, 2020 Accepting new patients
Kids Sedation Dentistry Current Accepting new patients
The Kids Dental Practice Pediatric Dentistry PastSince May 17, 2020 Accepting new patients

Locations

21301 Powerline Rd
Ste 208
Boca Raton, FL 33433
Phone (561) 482-8000

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1364774400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1676332800000",
    "number": "1023351715",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10955 WINDWARD ST",
            "city": "CORAL SPRINGS",
            "state": "FL",
            "postal_code": "330762987",
            "telephone_number": "561-899-6578",
            "fax_number": "561-412-3822"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21301 POWERLINE RD STE 208",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334332390",
            "telephone_number": "561-482-8000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "11903 Southern Blvd Ste 102",
            "address_purpose": "LOCATION",
            "city": "Royal Palm Beach",
            "state": "FL",
            "postal_code": "334117644",
            "country_code": "US",
            "telephone_number": "614-592-7335",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4919 Sheridan St Ste 50",
            "address_purpose": "LOCATION",
            "city": "Hollywood",
            "state": "FL",
            "postal_code": "330212823",
            "country_code": "US",
            "telephone_number": "954-510-9898",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2950 SW 8th St",
            "address_purpose": "LOCATION",
            "city": "Miami",
            "state": "FL",
            "postal_code": "331352827",
            "country_code": "US",
            "telephone_number": "305-456-9417",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4410 W 16th Ave Ste 52",
            "address_purpose": "LOCATION",
            "city": "Hialeah",
            "state": "FL",
            "postal_code": "330127193",
            "country_code": "US",
            "telephone_number": "305-825-9899",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LEVIN-RUBIN",
        "first_name": "SHELLY",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-04-01",
        "last_updated": "2023-02-14",
        "certification_date": "2023-02-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "FL",
            "license": "DN21753",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100364300",
            "state": "FL"
        }
    ],
    "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 Feb 14, 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.