Organization Active NPI

Alan Wishneff, D.D.S., P.a.

  • Dentist
  • Boca Raton, FL
National Provider Identifier
1134319338
Registry record updated Jul 25, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
8798 Issued in FL
Legal business name
ALAN WISHNEFF, D.D.S., P.A.
Practice address
9070 Kimberly Blvd
Suite 51
Boca Raton, FL 33434-2855
Phone
(561) 488-3111
Fax
(561) 488-8761
NPI assigned
Jul 25, 2007
Last updated
Jul 25, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 25, 2007

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

Authorized official

Name
Dr. Alan Lowell Wishneff, D.D.S.NPI 1699796110
Title
President
Phone
(561) 488-3111

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X 8798 FL Primary

Addresses

Primary practice location

9070 Kimberly Blvd
Suite 51
Boca Raton, FL 33434-2855

Mailing address

9070 Kimberly Blvd
Suite 51
Boca Raton, FL 33434-2855
Phone (561) 488-3111

Other identifiers 1

IdentifierTypeStateIssuer
8798OtherFLDENTAL OFFICE

National Provider Directory

National Provider Directory

Locations

9070 Kimberly Blvd
Ste 51
Boca Raton, FL 33434
Phone (561) 488-3111

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1185321600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1185321600000",
    "number": "1134319338",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9070 KIMBERLY BLVD",
            "address_2": "SUITE 51",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334342855",
            "telephone_number": "561-488-3111",
            "fax_number": "561-488-8761"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9070 KIMBERLY BLVD",
            "address_2": "SUITE 51",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334342855",
            "telephone_number": "561-488-3111",
            "fax_number": "561-488-8761"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALAN WISHNEFF, D.D.S., P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-25",
        "last_updated": "2007-07-25",
        "status": "A",
        "authorized_official_last_name": "WISHNEFF",
        "authorized_official_first_name": "ALAN",
        "authorized_official_middle_name": "LOWELL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "561-488-3111",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "FL",
            "license": "8798",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DENTAL OFFICE",
            "identifier": "8798",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Boca Raton, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2007; 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.