Organization Active NPI

Bdunlap LLC

  • Primary Care Clinic/Center
  • Palm Beach, FL
National Provider Identifier
1033985908
Registry record updated Dec 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
Legal business name
BDUNLAP LLC
Practice address
3581 S Ocean Blvd
Palm Beach, FL 33480-6402
Phone
(561) 707-6869
NPI assigned
Nov 30, 2023
Last updated
Dec 7, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 7, 2023

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

Authorized official

Name
Ms. Betty Banuelos Dunlap, APRNNPI 1265834774
Title
Owner
Phone
(561) 707-6869

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
Primary Care Clinic/Center 261QP2300X Primary

Addresses

Primary practice location

3581 S Ocean Blvd
Palm Beach, FL 33480-6402

Mailing address

201 W Ocean Ave Unit 3753
Lantana, FL 33465-5031
Phone (561) 707-6869

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240905002586 FL Part B Supplier - Clinic/Group Practice 0345780391 Receives reassigned benefits from 1 practitioner
Practice locations: Palm Beach, FL

National Provider Directory

National Provider Directory

Locations

201 W Ocean Ave
Unit 3753
Lantana, FL 33465

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1701302400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1701907200000",
    "number": "1033985908",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 W OCEAN AVE UNIT 3753",
            "city": "LANTANA",
            "state": "FL",
            "postal_code": "334655031",
            "telephone_number": "561-707-6869"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3581 S OCEAN BLVD",
            "city": "PALM BEACH",
            "state": "FL",
            "postal_code": "334806402",
            "telephone_number": "561-707-6869"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BDUNLAP LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-11-30",
        "last_updated": "2023-12-07",
        "certification_date": "2023-12-07",
        "status": "A",
        "authorized_official_last_name": "DUNLAP",
        "authorized_official_first_name": "BETTY",
        "authorized_official_middle_name": "BANUELOS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "561-707-6869",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "APRN"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Palm Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.