NPIMap

Organization Active NPI

Boca Family Dental

  • Dental Clinic/Center
  • Boca Raton, FL
National Provider Identifier
1033758628
Registry record updated Dec 30, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
BOCA FAMILY DENTAL
Practice address
2200 N Dixie Hwy
Boca Raton, FL 33431-8003
Phone
(561) 394-6200
Fax
(561) 394-6099
NPI assigned
Dec 30, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 30, 2019

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

Authorized official

Name
Harold Goodman, DDS
Title
Dentist
Phone
(561) 394-6200

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X Primary

Addresses

Primary practice location

2200 N Dixie Hwy
Boca Raton, FL 33431-8003

Mailing address

2200 N Dixie Hwy
Boca Raton, FL 33431-8003
Phone (561) 394-6200

Other identifiers 1

IdentifierTypeStateIssuer
680697096MedicaidFL

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1577664000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1577664000000",
    "number": "1033758628",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2200 N DIXIE HWY",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334318003",
            "telephone_number": "561-394-6200",
            "fax_number": "561-394-6099"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2200 N DIXIE HWY",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334318003",
            "telephone_number": "561-394-6200",
            "fax_number": "561-394-6099"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BOCA FAMILY DENTAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-12-30",
        "last_updated": "2019-12-30",
        "certification_date": "2019-12-30",
        "status": "A",
        "authorized_official_last_name": "GOODMAN",
        "authorized_official_first_name": "HAROLD",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "561-394-6200",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "680697096",
            "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 Dec 30, 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.