NPIMap

Organization Active NPI

Dental Art & Spa LLC

Doing business as The International Center for Advanced Dentistry

  • Dental Clinic/Center
  • Boca Raton, FL
National Provider Identifier
1053828434
Registry record updated Oct 3, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
License
DN21861 Issued in FL
Legal business name
DENTAL ART & SPA LLC
Doing business as
The International Center for Advanced Dentistry
Practice address
2900 N Military TRL Ste 175
Boca Raton, FL 33431-6381
Phone
(561) 922-0052
Fax
(561) 300-7134
NPI assigned
Jan 7, 2018
Last updated
Oct 3, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 3, 2018

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

Authorized official

Name
Dr. Maria Odila Magalhaes, DMDNPI 1033662267
Title
Owner-Dentist
Phone
(561) 922-0052

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
Dental Clinic/Center 261QD0000X DN21861 FL Primary

Addresses

Primary practice location

2900 N Military TRL Ste 175
Boca Raton, FL 33431-6381

Mailing address

2900 N Military TRL Ste 175
Boca Raton, FL 33431-6381
Phone (561) 922-0052

Other practice location 1

2900 N Military Trl Ste 212-175
Boca Raton, FL 33431-6365
Phone (561) 394-9000

Other names 1

  • The International Center for Advanced Dentistry Doing business as

National Provider Directory

National Provider Directory

Locations

2900 N Military Trl
Ste 175
Boca Raton, FL 33431
Phone (561) 241-7255

2900 N Military Trl
Ste 212175
Boca Raton, FL 33431
Phone (561) 394-9000

Practitioners & affiliated clinicians

Practitioners 3

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": "1515283200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1538524800000",
    "number": "1053828434",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2900 N MILITARY TRL STE 175",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334316381",
            "telephone_number": "561-922-0052",
            "fax_number": "561-300-7134"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2900 N MILITARY TRL STE 175",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334316381",
            "telephone_number": "561-922-0052",
            "fax_number": "561-300-7134"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2900 N Military Trl Ste 212-175",
            "address_purpose": "LOCATION",
            "city": "Boca Raton",
            "state": "FL",
            "postal_code": "334316365",
            "country_code": "US",
            "telephone_number": "561-394-9000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "DENTAL ART & SPA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-01-07",
        "last_updated": "2018-10-03",
        "status": "A",
        "authorized_official_last_name": "MAGALHAES",
        "authorized_official_first_name": "MARIA",
        "authorized_official_middle_name": "ODILA",
        "authorized_official_title_or_position": "OWNER-DENTIST",
        "authorized_official_telephone_number": "561-922-0052",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "FL",
            "license": "DN21861",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The International Center for Advanced Dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Boca Raton, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2018; 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.