Organization Active NPI

West Boca Dental Associates

  • Clinic/Center
  • Boca Raton, FL
National Provider Identifier
1063562593
Registry record updated Jun 16, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
License
07626 Issued in FL
Legal business name
WEST BOCA DENTAL ASSOCIATES
Practice address
22053 State Road 7
Boca Raton, FL 33428-4219
Phone
(561) 477-9500
Fax
(561) 482-5005
NPI assigned
Jan 10, 2007
Last updated
Jun 16, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 16, 2018

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

Authorized official

Name
Dr. Alan WassermanNPI 1619312816
Title
DMD
Phone
(561) 477-9500

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
Clinic/Center 261Q00000X 07626 FL Primary

Addresses

Primary practice location

22053 State Road 7
Boca Raton, FL 33428-4219

Mailing address

22053 State Road 7
Boca Raton, FL 33428
Phone (561) 477-9500

Other names 1

  • Alan Wasserman Other name

National Provider Directory

National Provider Directory

Locations

22053 State Road 7
Boca Raton, FL 33428
Phone (561) 477-9500

22053 State Road 7
Bldg C
Boca Raton, FL 33428
Phone (561) 477-9500

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": "1168387200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1529107200000",
    "number": "1063562593",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22053 STATE ROAD 7",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "33428",
            "telephone_number": "561-477-9500",
            "fax_number": "561-482-5005"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22053 STATE ROAD 7",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334284219",
            "telephone_number": "561-477-9500",
            "fax_number": "561-482-5005"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WEST BOCA DENTAL ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-10",
        "last_updated": "2018-06-16",
        "status": "A",
        "authorized_official_last_name": "WASSERMAN",
        "authorized_official_first_name": "ALAN",
        "authorized_official_title_or_position": "DMD",
        "authorized_official_telephone_number": "561-477-9500",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "FL",
            "license": "07626",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Alan Wasserman",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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 Jun 16, 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.