Active NPI
Juan Carlos Marcano Ceballos, D.D.S
- Dentist
- West Palm Beach, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- DN26540
- Practice address
- 901 Village Blvd Ste 700
West Palm Beach, FL 33409-1947 - Phone
- (561) 328-6360
- NPI assigned
- May 30, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 30026674 | OH | |
| Dentist | 122300000X | DN26540 | FL | Primary |
Addresses
Primary practice location
901 Village Blvd Ste 700
West Palm Beach, FL 33409-1947
Mailing address
901 Village Blvd Ste 700
West Palm Beach, FL 33409-1947
Phone (561) 328-6360
Other practice location 1
2263 S University Dr
Davie, FL 33324-5825
Phone (954) 475-0700
Other practice location 2
1945 N Pine Island Rd
Sunrise, FL 33322-5203
Phone (954) 473-9161
Other practice location 3
3676 Collin Dr Ste 4
West Palm Beach, FL 33406-4718
Phone (561) 965-0292
Other practice location 4
4267 W Commercial Blvd
Tamarac, FL 33319-3305
Phone (954) 677-3202
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20180807001221 | MI | Order and Referring Only - Dentist | 9032467154 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DN26540 | FL | MD | Dentist |
| 30026674 | OH | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Preferred Dental Care PA | Dentist | Past | Accepting new patients |
| Alpha Dental Akron Ming Yu DDS LLC | Dentist | Past | Accepting new patients |
| Allure Dental PLLC | Dentist | Past | Accepting new patients |
| Allure Dental of Plantation PLLC | Past | Accepting new patients | |
| Allure Dental WPB PLLC | Past | Accepting new patients | |
| Maria M. Egusquiza DMD PA | Past | Accepting new patients |
Networks
- Freedom Health HMO Network
Organizations & group practices 6
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- General Practice Dentistry
- Sunrise, FL
- NPI 1740848647
-
- Dentist
- Tamarac, FL
- NPI 1649784166
-
- Dental Clinic/Center
- West Palm Beach, FL
- NPI 1891473815
-
- General Practice Dentistry
- West Palm Beach, FL
- NPI 1659828705
-
- Dentist
- Davie, FL
- NPI 1801300066
-
- Dentist
- Akron, OH
- NPI 1326544115
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1180483200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1708992000000",
"number": "1043411796",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "901 VILLAGE BLVD STE 700",
"city": "WEST PALM BEACH",
"state": "FL",
"postal_code": "334091947",
"telephone_number": "561-328-6360"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "901 VILLAGE BLVD STE 700",
"city": "WEST PALM BEACH",
"state": "FL",
"postal_code": "334091947",
"telephone_number": "561-328-6360"
}
],
"practiceLocations": [
{
"address_1": "2263 S University Dr",
"address_purpose": "LOCATION",
"city": "Davie",
"state": "FL",
"postal_code": "333245825",
"country_code": "US",
"telephone_number": "954-475-0700",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1945 N Pine Island Rd",
"address_purpose": "LOCATION",
"city": "Sunrise",
"state": "FL",
"postal_code": "333225203",
"country_code": "US",
"telephone_number": "954-473-9161",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "3676 Collin Dr Ste 4",
"address_purpose": "LOCATION",
"city": "West Palm Beach",
"state": "FL",
"postal_code": "334064718",
"country_code": "US",
"telephone_number": "561-965-0292",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "4267 W Commercial Blvd",
"address_purpose": "LOCATION",
"city": "Tamarac",
"state": "FL",
"postal_code": "333193305",
"country_code": "US",
"telephone_number": "954-677-3202",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MARCANO CEBALLOS",
"first_name": "JUAN",
"middle_name": "CARLOS",
"name_prefix": "Dr.",
"credential": "D.D.S",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-05-30",
"last_updated": "2024-02-27",
"certification_date": "2024-02-27",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "OH",
"license": "30026674",
"primary": false
},
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "FL",
"license": "DN26540",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in West Palm Beach, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.