Active NPI
Ormond Family Dental, PLLC
- Dental Clinic/Center
- Ormond Beach, FL
National Provider Identifier
1033837133
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dental Clinic/Center
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Jacques Benchimol, DMD
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
National Provider Directory
National Provider DirectoryLocations
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.
-
- General Practice Dentistry
- Coconut Creek, FL
- NPI 1780841940
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.