Active NPI
Paul Werner, D.D.S., P.A.
- Pediatric Dentistry
- Boca Raton, FL
National Provider Identifier
1053325852
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Dentistry
- License
- 7046
- Practice address
- 22144 Verbena Way
Boca Raton, FL 33433-4813 - Phone
- (561) 368-4236
- NPI assigned
- Jul 28, 2006
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Dentistry | 1223P0221X | 7046 | FL | Primary |
Addresses
Primary practice location
22144 Verbena Way
Boca Raton, FL 33433-4813
Mailing address
22144 Verbena Way
Boca Raton, FL 33433-4813
Phone (561) 368-4236
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 070831301 | Medicaid | FL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 7046 | FL | MD | Pediatric Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154044800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1305504000000",
"number": "1053325852",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "22144 VERBENA WAY",
"city": "BOCA RATON",
"state": "FL",
"postal_code": "334334813",
"telephone_number": "561-368-4236"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "22144 VERBENA WAY",
"city": "BOCA RATON",
"state": "FL",
"postal_code": "334334813",
"telephone_number": "561-368-4236"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WERNER",
"first_name": "PAUL",
"name_prefix": "Dr.",
"credential": "D.D.S., P.A.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-28",
"last_updated": "2011-05-16",
"status": "A"
},
"taxonomies": [
{
"code": "1223P0221X",
"taxonomy_group": "",
"desc": "Dentist, Pediatric Dentistry",
"state": "FL",
"license": "7046",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "070831301",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Boca Raton, FL
- Wenzel Center for Chiropractic & Alternative Medicine,Inc
- Ira Wenzel, D.C.
- Darah Emily Wenzowski, PA-C
- Laura C Werber, DPT, PT
- Amanda Brittney Werdann-Mendez, DSW, LCSW
- Joyce Corman Wertheimer, LCSW,PH.D
- West Boca Admissions LLC
- West Boca Dental Associates
- West Boca Ekg Readers LLC
- West Boca Family Medical Associates PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.