Active NPI
Dentists of Royal Palm, PA
- Dentist
- Royal Palm Beach, FL
National Provider Identifier
1114585577
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- Legal business name
- DENTISTS OF ROYAL PALM, PA
- Practice address
- 11151 Southern Blvd Ste 110
Royal Palm Beach, FL 33411-4255 - Phone
- (561) 246-6371
- NPI assigned
- May 31, 2019
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Minh Pham, DDS
- Title
- Owner/General Dentist
- Phone
- (561) 246-6371
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | Primary |
Addresses
Primary practice location
11151 Southern Blvd Ste 110
Royal Palm Beach, FL 33411-4255
Mailing address
PO Box 920050
Dallas, TX 75392-0050
Phone (714) 845-8890
Other names 1
- Dentists of Royal Palm
National Provider Directory
National Provider DirectoryLocations
11151 Southern Blvd
Ste 110
Royal Palm Beach, FL 33411
Phone (561) 246-6371
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Dentist
- Royal Palm Beach, FL
- NPI 1114555364
-
- General Practice Dentistry
- Royal Palm Beach, FL
- NPI 1649161282
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1559260800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1724198400000",
"number": "1114585577",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 920050",
"city": "DALLAS",
"state": "TX",
"postal_code": "753920050",
"telephone_number": "714-845-8890",
"fax_number": "949-474-1495"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11151 SOUTHERN BLVD STE 110",
"city": "ROYAL PALM BEACH",
"state": "FL",
"postal_code": "334114255",
"telephone_number": "561-246-6371"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DENTISTS OF ROYAL PALM, PA",
"organizational_subpart": "NO",
"enumeration_date": "2019-05-31",
"last_updated": "2024-08-21",
"certification_date": "2024-08-21",
"status": "A",
"authorized_official_last_name": "PHAM",
"authorized_official_first_name": "MINH",
"authorized_official_title_or_position": "OWNER/GENERAL DENTIST",
"authorized_official_telephone_number": "561-246-6371",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DDS"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Dentist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Dentists of Royal Palm",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Dentists of Royal Palm",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Royal Palm Beach, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.