Organization Active NPI

Advanced Endodontics of Wellington

  • Dental Clinic/Center
  • Wellington, FL
National Provider Identifier
1053732735
Registry record updated Feb 28, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
License
15484 Issued in FL
Legal business name
ADVANCED ENDODONTICS OF WELLINGTON
Practice address
3319 State Road 7
Suite 307
Wellington, FL 33449-8094
Phone
(561) 333-2522
Fax
(561) 333-2484
NPI assigned
Dec 23, 2013
Last updated
Feb 28, 2023By the provider in NPPES
Organization subpart
Yes
Parent organization
ADVANCED ENDODONTICS OF WELLINGTONAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Feb 28, 2023

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

Authorized official

Name
Mrs. Natalia Roud
Title
Practice Manager
Phone
(561) 333-2522

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X 15484 FL Primary

Addresses

Primary practice location

3319 State Road 7
Suite 307
Wellington, FL 33449-8094

Mailing address

3319 State Road 7
Suite 307
Wellington, FL 33449-8094
Phone (561) 333-2522

Other names 1

  • Advanced Endodontics Former legal business name

National Provider Directory

National Provider Directory
Part of
Advanced Endodontics of Wellington

Locations

3319 S State Road 7
Ste 307
Wellington, FL 33449
Phone (561) 333-2522

Practitioners & affiliated clinicians

Practitioners 2

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": "1387756800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1677542400000",
    "number": "1053732735",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3319 STATE ROAD 7",
            "address_2": "SUITE 307",
            "city": "WELLINGTON",
            "state": "FL",
            "postal_code": "334498094",
            "telephone_number": "561-333-2522",
            "fax_number": "561-333-2484"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3319 STATE ROAD 7",
            "address_2": "SUITE 307",
            "city": "WELLINGTON",
            "state": "FL",
            "postal_code": "334498094",
            "telephone_number": "561-333-2522",
            "fax_number": "561-333-2484"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANCED ENDODONTICS OF WELLINGTON",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ADVANCED ENDODONTICS OF WELLINGTON",
        "enumeration_date": "2013-12-23",
        "last_updated": "2023-02-28",
        "certification_date": "2023-02-28",
        "status": "A",
        "authorized_official_last_name": "ROUD",
        "authorized_official_first_name": "NATALIA",
        "authorized_official_title_or_position": "PRACTICE MANAGER",
        "authorized_official_telephone_number": "561-333-2522",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "FL",
            "license": "15484",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Advanced Endodontics",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Wellington, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2023; 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.