Organization Active NPI

John Orthodontics

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Coconut Creek, FL
National Provider Identifier
1033457312
Registry record updated Jan 22, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
License
DN 17809 Issued in FL
Legal business name
JOHN ORTHODONTICS
Practice address
4651 N State Road 7 Unit 1314
Coconut Creek, FL 33073-4378
Phone
(954) 575-3313
NPI assigned
Jan 22, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 22, 2013

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

Authorized official

Name
Eliane A John, DDS; MS
Title
Orthodontist
Phone
(954) 575-3313

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthodontics and Dentofacial Orthopedics DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223X0400X DN 17809 FL Primary

Addresses

Primary practice location

4651 N State Road 7 Unit 1314
Coconut Creek, FL 33073-4378

Mailing address

4651 N State Road 7 Unit 1314
Coconut Creek, FL 33073-4378
Phone (954) 575-3313

National Provider Directory

National Provider Directory

Locations

4651 N State Road 7
Unit 1314
Coconut Creek, FL 33073
Phone (954) 575-3313

NPI Registry JSON

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

{
    "created_epoch": "1358812800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1358812800000",
    "number": "1033457312",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4651 N STATE ROAD 7 UNIT 1314",
            "city": "COCONUT CREEK",
            "state": "FL",
            "postal_code": "330734378",
            "telephone_number": "954-575-3313"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4651 N STATE ROAD 7 UNIT 1314",
            "city": "COCONUT CREEK",
            "state": "FL",
            "postal_code": "330734378",
            "telephone_number": "954-575-3313"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOHN ORTHODONTICS",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-01-22",
        "last_updated": "2013-01-22",
        "status": "A",
        "authorized_official_last_name": "JOHN",
        "authorized_official_first_name": "ELIANE",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "ORTHODONTIST",
        "authorized_official_telephone_number": "954-575-3313",
        "authorized_official_credential": "DDS; MS"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "FL",
            "license": "DN 17809",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Coconut Creek, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2013; 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.