Tim Deyab, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DN17323 Issued in FL

Practice address

1034 Gateway Blvd
Suite 101
Boynton Beach, FL 33426-8369

Phone

(561) 249-2585

NPI assigned

Sep 28, 2006

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

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

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Networks

• Freedom Health HMO Network

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.

• Deyab DDS PLLC

  • Dentist
  • Boynton Beach, FL
  • NPI 1780376426
  NPD Authorized official
• Hamarnah DDS PLLC

  • Dental Clinic/Center
  • Boynton Beach, FL
  • NPI 1275036733
  NPD (past)

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

{
    "created_epoch": "1159401600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1468886400000",
    "number": "1124119474",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1034 GATEWAY BLVD",
            "address_2": "SUITE 101",
            "city": "BOYNTON BEACH",
            "state": "FL",
            "postal_code": "334268369",
            "telephone_number": "561-249-2585"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1034 GATEWAY BLVD",
            "address_2": "SUITE 101",
            "city": "BOYNTON BEACH",
            "state": "FL",
            "postal_code": "334268369",
            "telephone_number": "561-249-2585"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEYAB",
        "first_name": "TIM",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-28",
        "last_updated": "2016-07-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "FL",
            "license": "DN17323",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• James Devoursney, MD
• Devshil P.a.
• Mackangelo Devy, OTR/L
• Joel P Dey, MD
• Deyab DDS PLLC
• Lane Deyoe, M.D.
• Argentino Antonio Di Luigi, MD
• Diamond Medical Supply LLC
• Diana Cajamarca OD PA
• Diane Halperin PA

• 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 Jul 19, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.