Individual provider Active NPI

Julio Cesar Pinzon, D.M.D.

  • General Practice Dentistry
  • Boynton Beach, FL
National Provider Identifier
1093153306
Registry record updated Jun 8, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DN20111 Issued in FL
Practice address
7593 Boynton Beach Blvd
Ste 200
Boynton Beach, FL 33437-6154
Phone
(561) 429-2099
NPI assigned
Jun 8, 2013
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 8, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X DN20111 FL Primary

Addresses

Primary practice location

7593 Boynton Beach Blvd
Ste 200
Boynton Beach, FL 33437-6154

Mailing address

21301 Town Lakes Dr
#1123
Boca Raton, FL 33486-8870
Phone (561) 628-4783

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160531000797 FL Order and Referring Only - Oral SurgeryPractitioner - Oral Surgery 1557651726

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DN20111FLMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Floss Florida LLC General Practice Current Accepting new patients

Networks

  • Freedom Health HMO Network

Organizations & group practices 1

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1370649600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1370649600000",
    "number": "1093153306",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21301 TOWN LAKES DR",
            "address_2": "#1123",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334868870",
            "telephone_number": "561-628-4783"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7593 BOYNTON BEACH BLVD",
            "address_2": "STE 200",
            "city": "BOYNTON BEACH",
            "state": "FL",
            "postal_code": "334376154",
            "telephone_number": "561-429-2099"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PINZON",
        "first_name": "JULIO",
        "middle_name": "CESAR",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-06-08",
        "last_updated": "2013-06-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "FL",
            "license": "DN20111",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boynton Beach, FL

Sources for this page

Verify at the official NPI Registry.