Active NPI
Dominic Morel-Maynard, D.M.D.
- Oral and Maxillofacial Surgery (Dentist)
- Delray Beach, FL
National Provider Identifier
1073800520
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Oral and Maxillofacial Surgery (Dentist)
- License
- DN 21761
- Practice address
- 15340 S Jog Rd Ste 100
Delray Beach, FL 33446-2170 - Phone
- (561) 495-2099
- NPI assigned
- Jul 6, 2011
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Oral and Maxillofacial Surgery (Dentist) | 1223S0112X | DN 21761 | FL | Primary |
| Oral and Maxillofacial Surgery (Dentist) | 1223S0112X | DN21761 | FL | |
| Oral and Maxillofacial Surgery (Dentist) | 1223S0112X | 2018010876 | MO |
Addresses
Primary practice location
15340 S Jog Rd Ste 100
Delray Beach, FL 33446-2170
Mailing address
5720 Fox Hollow Dr Apt C
Boca Raton, FL 33486-8928
Phone (917) 703-8220
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
- Opted out of Medicare
- Yes, effective Jul 1, 2025 through Jul 1, 2027
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DN 21761 | FL | MD | Oral and Maxillofacial Surgery (Dentist) |
| DN21761 | FL | MD | Oral and Maxillofacial Surgery (Dentist) |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Morel Espinal Dentistry, PA | Current | Accepting new patients | |
| Profiles II Oral and Facial Surgery ,PLLC | Oral and Maxillofacial Surgery | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Oral and Maxillofacial Surgery Clinic/Center
- Boca Raton, FL
- NPI 1992664437
-
- Oral and Maxillofacial Surgery (Dentist)
- Palm Beach Gardens, FL
- NPI 1477837011
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1309910400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1741305600000",
"number": "1073800520",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5720 FOX HOLLOW DR APT C",
"city": "BOCA RATON",
"state": "FL",
"postal_code": "334868928",
"telephone_number": "917-703-8220"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "15340 S JOG RD STE 100",
"city": "DELRAY BEACH",
"state": "FL",
"postal_code": "334462170",
"telephone_number": "561-495-2099"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MOREL-MAYNARD",
"first_name": "DOMINIC",
"name_prefix": "Dr.",
"credential": "D.M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2011-07-06",
"last_updated": "2025-03-07",
"certification_date": "2025-03-07",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "1223S0112X",
"taxonomy_group": "",
"desc": "Dentist, Oral and Maxillofacial Surgery",
"state": "FL",
"license": "DN 21761",
"primary": true
},
{
"code": "1223S0112X",
"taxonomy_group": "",
"desc": "Dentist, Oral and Maxillofacial Surgery",
"state": "FL",
"license": "DN21761",
"primary": false
},
{
"code": "1223S0112X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Dentist, Oral and Maxillofacial Surgery",
"state": "MO",
"license": "2018010876",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Delray Beach, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2025; 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; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.