Individual provider Active NPI

Sean Tomalty, D.M.D.

  • Dentist
  • Boynton Beach, FL
National Provider Identifier
1033559281
Registry record updated Jul 2, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
DN20153 Issued in FL
Practice address
6617 Boynton Beach Blvd
Boynton Beach, FL 33437-3526
Phone
(561) 735-9898
Fax
(561) 735-9877
NPI assigned
Jul 2, 2013
Last updated
Jul 2, 2013By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 2, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X DN20153 FL Primary

Addresses

Primary practice location

6617 Boynton Beach Blvd
Boynton Beach, FL 33437-3526

Mailing address

6617 Boynton Beach Blvd
Boynton Beach, FL 33437-3526
Phone (561) 735-9898

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20160113001538 FL Order and Referring Only - Oral SurgeryPractitioner - Oral Surgery 1254633886

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DN20153FLMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
TDC Fountains LLC Past Accepting new patients
TDC Palm City LLC Dentist Past Accepting new patients
D. Lorne Tomalty, DDS, PA Past Accepting new patients
TDC Jupiter, LLC Past Accepting new patients
TDC Jupiter Farms, LLC Dentist Past Accepting new patients

Organizations & group practices 5

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": "1372723200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1372723200000",
    "number": "1033559281",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6617 BOYNTON BEACH BLVD",
            "city": "BOYNTON BEACH",
            "state": "FL",
            "postal_code": "334373526",
            "telephone_number": "561-735-9898",
            "fax_number": "561-735-9877"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6617 BOYNTON BEACH BLVD",
            "city": "BOYNTON BEACH",
            "state": "FL",
            "postal_code": "334373526",
            "telephone_number": "561-735-9898",
            "fax_number": "561-735-9877"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TOMALTY",
        "first_name": "SEAN",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-07-02",
        "last_updated": "2013-07-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "FL",
            "license": "DN20153",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boynton Beach, FL

Sources for this page

Verify at the official NPI Registry.