Active NPI
Kenneth D Rubinstein, DMD
- Periodontics
- Boynton Beach, FL
National Provider Identifier
1144380189
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Periodontics
- License
- DN14485
- Practice address
- 10075 S Jog Rd Ste 108
Boynton Beach, FL 33437-3532 - Phone
- (561) 738-9007
- Fax
- (561) 738-9963
- NPI assigned
- Dec 11, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Periodontics | 1223P0300X | DN14485 | FL | Primary |
Addresses
Primary practice location
10075 S Jog Rd Ste 108
Boynton Beach, FL 33437-3532
Mailing address
10075 S Jog Rd Ste 108
Boynton Beach, FL 33437-3532
Phone (561) 738-9007
Other practice location 1
200 Knuth Road
Suite 106
Boynton Beach, FL 33436
Phone (561) 738-9007
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20160602000627 | FL | Order and Referring Only - Oral Surgery | 6507156635 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| DRS. Wang, Rubinstein and Associates PLLC | Current | Accepting new patients | |
| Seda Dental of Boca Raton, P.a. | Periodontics | Past | Accepting new patients |
Locations
10075 S Jog Rd
Ste 301
Boynton Beach, FL 33437
Phone (561) 736-8600
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.
-
dba SEDA Dental
- General Practice Dentistry
- Boynton Beach, FL
- NPI 1689262602
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1165795200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1510704000000",
"number": "1144380189",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10075 S JOG RD STE 108",
"city": "BOYNTON BEACH",
"state": "FL",
"postal_code": "334373532",
"telephone_number": "561-738-9007",
"fax_number": "561-738-9963"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10075 S JOG RD STE 108",
"city": "BOYNTON BEACH",
"state": "FL",
"postal_code": "334373532",
"telephone_number": "561-738-9007",
"fax_number": "561-738-9963"
}
],
"practiceLocations": [
{
"address_1": "200 Knuth Road",
"address_2": "Suite 106",
"address_purpose": "LOCATION",
"city": "Boynton Beach",
"state": "FL",
"postal_code": "33436",
"country_code": "US",
"telephone_number": "561-738-9007",
"fax_number": "561-738-9963",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "RUBINSTEIN",
"first_name": "KENNETH",
"middle_name": "D",
"name_prefix": "Dr.",
"credential": "DMD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-12-11",
"last_updated": "2017-11-15",
"status": "A"
},
"taxonomies": [
{
"code": "1223P0300X",
"taxonomy_group": "",
"desc": "Dentist, Periodontics",
"state": "FL",
"license": "DN14485",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Boynton Beach, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2017; 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.