Individual provider Active NPI

Kenneth D Rubinstein, DMD

  • Periodontics
  • Boynton Beach, FL
National Provider Identifier
1144380189
Registry record updated Nov 15, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
PeriodonticsTaxonomy code 1223P0300X
License
DN14485 Issued in FL
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

Updated by the provider on Nov 15, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160602000627 FL Order and Referring Only - Oral SurgeryPractitioner - Oral Surgery 6507156635

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew 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.

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

Verify at the official NPI Registry.