Organization Active NPI

Ormond Family Dental, PLLC

  • Dental Clinic/Center
  • Ormond Beach, FL
National Provider Identifier
1033837133
Registry record updated Aug 16, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
ORMOND FAMILY DENTAL, PLLC
Practice address
1200 W Granada Blvd Ste 2
Ormond Beach, FL 32174-8157
Phone
(386) 275-1792
Fax
(386) 265-0576
NPI assigned
Aug 16, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 16, 2022

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

Authorized official

Name
Dr. Jacques Benchimol, DMDNPI 1780841940
Title
Owner
Phone
(954) 397-1452

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

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

Addresses

Primary practice location

1200 W Granada Blvd Ste 2
Ormond Beach, FL 32174-8157

Mailing address

8495 Twin Lake Dr
Boca Raton, FL 33496-1923
Phone (954) 397-1452

Other names 1

  • Ormond Family Dental, PLLC Doing business as

National Provider Directory

National Provider Directory

Locations

1200 W Granada Blvd
Ste 2
Ormond Beach, FL 32174
Phone (386) 275-1792

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1660608000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1660608000000",
    "number": "1033837133",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8495 TWIN LAKE DR",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334961923",
            "telephone_number": "954-397-1452"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 W GRANADA BLVD STE 2",
            "city": "ORMOND BEACH",
            "state": "FL",
            "postal_code": "321748157",
            "telephone_number": "386-275-1792",
            "fax_number": "386-265-0576"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ORMOND FAMILY DENTAL, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-08-16",
        "last_updated": "2022-08-16",
        "certification_date": "2022-08-16",
        "status": "A",
        "authorized_official_last_name": "BENCHIMOL",
        "authorized_official_first_name": "JACQUES",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "954-397-1452",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Ormond Family Dental, PLLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Ormond Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2022; 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.