Individual provider Active NPI

Christopher Nicholas Deture, DMD

  • Dentist
  • Deerfield Beach, FL
National Provider Identifier
1114042272
Registry record updated May 18, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
DN14431 Issued in FL
Practice address
1500 East Hillsboro Blvd.
#101
Deerfield Beach, FL 33441
Phone
(954) 427-5700
Fax
(954) 427-5990
NPI assigned
Mar 20, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 18, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X DN14431 FL Primary

Addresses

Primary practice location

1500 East Hillsboro Blvd.
#101
Deerfield Beach, FL 33441

Mailing address

1500 East Hillsboro Boulevard
101
Deerfield Beach, FL 33441
Phone (954) 427-5700

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
I20190218003048 FL Order and Referring Only - DentistPractitioner - Dentist 9436497351

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Lilibeth Ayangco DMD PA Dentist Past Accepting new patients
C Nick Deture PA Dentist Past Accepting new patients

Organizations & group practices 2

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": "1174348800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1463529600000",
    "number": "1114042272",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1500 EAST HILLSBORO BOULEVARD",
            "address_2": "101",
            "city": "DEERFIELD BEACH",
            "state": "FL",
            "postal_code": "33441",
            "telephone_number": "954-427-5700",
            "fax_number": "954-427-5990"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1500 EAST HILLSBORO BLVD.",
            "address_2": "#101",
            "city": "DEERFIELD BEACH",
            "state": "FL",
            "postal_code": "33441",
            "telephone_number": "954-427-5700",
            "fax_number": "954-427-5990"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DETURE",
        "first_name": "CHRISTOPHER",
        "middle_name": "NICHOLAS",
        "name_prefix": "Mr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-20",
        "last_updated": "2016-05-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "FL",
            "license": "DN14431",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Deerfield Beach, FL

Sources for this page

Verify at the official NPI Registry.