Individual provider Active NPI

Leora Sanieoff, DMD

  • General Practice Dentistry
  • Boynton Beach, FL
National Provider Identifier
1104388198
Registry record updated Jul 21, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DN25243 Issued in FL
Practice address
11135 S Jog Rd Ste 3
Boynton Beach, FL 33437-1817
Phone
(561) 733-3361
NPI assigned
Apr 1, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 21, 2021

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 061324 NY
Student in an Organized Health Care Education/Training Program 390200000X
General Practice Dentistry 1223G0001X DN25243 FL Primary

Addresses

Primary practice location

11135 S Jog Rd Ste 3
Boynton Beach, FL 33437-1817

Mailing address

20993 Uptown Ave Apt 210
Boca Raton, FL 33428-6537

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
DN25243FLMDGeneral Practice Dentistry
061324NYMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Comfortable Care Dental Health Professionals, P.a. General Practice CurrentSince Dec 22, 2024 Accepting new patients
Upper Room AIDS Ministry, Inc. Adult Day Health Care Center. General Practice PastSince Jan 4, 2016 Accepting new patients
David Green DDS PA General Practice PastSince Jul 25, 2021 Accepting new patients
Shlomit Levy Past Accepting new patients

Locations

11135 S Jog Rd
Ste 3
Boynton Beach, FL 33437
Phone (561) 733-3361

Organizations & group practices 4

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": "1554076800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1626825600000",
    "number": "1104388198",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20993 UPTOWN AVE APT 210",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334286537"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11135 S JOG RD STE 3",
            "city": "BOYNTON BEACH",
            "state": "FL",
            "postal_code": "334371817",
            "telephone_number": "561-733-3361"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANIEOFF",
        "first_name": "LEORA",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-04-01",
        "last_updated": "2021-07-21",
        "certification_date": "2021-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NY",
            "license": "061324",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "FL",
            "license": "DN25243",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boynton Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2021; 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.