Pablo Roberto Prado, D.M.D.

Primary specialty

DentistTaxonomy code 122300000X

License

DN21250 Issued in FL

Practice address

10075 S Jog Rd Ste 102
Boynton Beach, FL 33437-3532

Phone

(561) 244-7022

NPI assigned

Jun 9, 2015

Last updated

Jul 21, 2022By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Networks

• Freedom Health HMO Network

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Pablo R Prado, DMD, PA

  dba Prestige Dental

  • Dental Clinic/Center
  • Lake Worth, FL
  • NPI 1841815479
  NPD Authorized official
• Smile Perfection Dental of Boynton Beach

  • Dentist
  • Boynton Beach, FL
  • NPI 1649802612
  NPD
• Premier Dentistry of Boynton Beach

  • Dentist
  • Boynton Beach, FL
  • NPI 1447781489
  NPD (past)

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

{
    "created_epoch": "1433808000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1104207703",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10075 JOG RD, SUITE #102",
            "city": "BOYNTON BEACH",
            "state": "FL",
            "postal_code": "33437",
            "telephone_number": "561-244-7022"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10075 S JOG RD STE 102",
            "city": "BOYNTON BEACH",
            "state": "FL",
            "postal_code": "334373532",
            "telephone_number": "561-244-7022"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3935 Jog Rd.",
            "address_purpose": "LOCATION",
            "city": "Greenacres",
            "state": "FL",
            "postal_code": "33467",
            "country_code": "US",
            "telephone_number": "561-331-3013",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PRADO",
        "first_name": "PABLO",
        "middle_name": "ROBERTO",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-06-09",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "FL",
            "license": "DN21250",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alexis Potter
• Mark Poulin, MD
• Brandy Pouliot, AU.D.
• Ruth Pouliot
• Practical Wellness Solutions, PWS, LLC
• Marissa Nicole Prager, LCSW
• Tyler Prager
• Prairiecore DME
• Dave Prashad, M.D
• Precision Labs, LLC

• Dentist in Boynton Beach, FL
• Providers in Boynton Beach, FL by specialty
• Dentist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.