Domenick Andrew Cerullo, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DN21126 Issued in FL

Practice address

10150 Hagen Ranch Road Suite 202
Dental Arts of Boynton Beach, P.a.
Boynton Beach, FL 33437

Phone

(561) 767-9595

Fax

(561) 767-9569

NPI assigned

Aug 9, 2013

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Dental Arts of Boynton Beach

  • General Practice Dentistry
  • Boynton Beach, FL
  • NPI 1316429780
  NPD (past) Authorized official

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

{
    "created_epoch": "1376006400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1463529600000",
    "number": "1104258417",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10150 HAGEN RANCH ROAD SUITE 202",
            "address_2": "DENTAL ARTS OF BOYNTON BEACH, P.A.",
            "city": "BOYNTON BEACH",
            "state": "FL",
            "postal_code": "33437",
            "telephone_number": "561-767-9595",
            "fax_number": "561-767-9569"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10150 HAGEN RANCH ROAD SUITE 202",
            "address_2": "DENTAL ARTS OF BOYNTON BEACH, P.A.",
            "city": "BOYNTON BEACH",
            "state": "FL",
            "postal_code": "33437",
            "telephone_number": "561-767-9595",
            "fax_number": "561-767-9569"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CERULLO",
        "first_name": "DOMENICK",
        "middle_name": "ANDREW",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-08-09",
        "last_updated": "2016-05-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "FL",
            "license": "DN21126",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Center for Balance, Dizziness and Physical Therapy LLC
• Centerhills Enterprises LLC
• Centerhills Enterprises LLC
• Dayelis Cepero Roque
• Certified Foot & Ankle Specialists
• James A Cerullo, M.D.
• Dieudonne Cesar
• Nicholas Andrew Cetone, DC
• CG Senior Services, LLC.
• Linda Ann Chabrier, M.D.

• General Practice Dentistry in Boynton Beach, FL
• Providers in Boynton Beach, FL by specialty
• General Practice Dentistry in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 2016; 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.