LW Pediatric Dentistry PA

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

Legal business name

LW PEDIATRIC DENTISTRY PA

Practice address

6910 Lake Worth Rd
Lake Worth, FL 33467-2978

Phone

(561) 770-7321

Fax

(561) 725-0762

NPI assigned

Feb 28, 2020

Organization subpart

No

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

Authorized official

Name

Dr. Drew Popper, DMDNPI 1922407964

Title

Owner

Phone

(203) 415-6875

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Drew Popper

  • Pediatric Dentistry
  • Boca Raton, FL
  • NPI 1922407964
  NPD Authorized official

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

{
    "created_epoch": "1582848000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1582848000000",
    "number": "1104450121",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6910 LAKE WORTH RD",
            "city": "LAKE WORTH",
            "state": "FL",
            "postal_code": "334672978",
            "telephone_number": "561-770-7321",
            "fax_number": "561-725-0762"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6910 LAKE WORTH RD",
            "city": "LAKE WORTH",
            "state": "FL",
            "postal_code": "334672978",
            "telephone_number": "561-770-7321",
            "fax_number": "561-725-0762"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LW PEDIATRIC DENTISTRY PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-02-28",
        "last_updated": "2020-02-28",
        "certification_date": "2020-02-28",
        "status": "A",
        "authorized_official_last_name": "POPPER",
        "authorized_official_first_name": "DREW",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "203-415-6875",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "017151100",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Samantha Lusczakoski, APRN
• Alicia Lusk
• Lux Care Holdings, LLC
• Luxottica Retail North America Inc
• LW Medical Group Inc
• Sophia Dionne Lyn Chinque, ARNP
• Lisa Gestewitz Lynch, MHS, OTR/L
• Lynne Pesklo Speech Therapy Services, Inc
• Jacqueline Cardozo Lyons, OD
• M Langweil LLC

• Pediatric Dentistry in Lake Worth, FL
• Providers in Lake Worth, FL by specialty
• Pediatric Dentistry in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2020; 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.