Active NPI
Mina Iravani, D.M.D.
- Dentist
- Boynton Beach, FL
National Provider Identifier
1144688482
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- DN22331
- Practice address
- 1790 N Congress Ave
#100
Boynton Beach, FL 33426-8265 - Phone
- (877) 395-7426
- NPI assigned
- Feb 1, 2016
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Dentist | 122300000X | DN22331 | FL | Primary |
Addresses
Primary practice location
1790 N Congress Ave
#100
Boynton Beach, FL 33426-8265
Mailing address
1790 N Congress Ave
#100
Boynton Beach, FL 33426-8265
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DN22331 | FL | MD | Dentist |
Networks
- Freedom Health HMO Network
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1454284800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1478649600000",
"number": "1144688482",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1790 N CONGRESS AVE",
"address_2": "#100",
"city": "BOYNTON BEACH",
"state": "FL",
"postal_code": "334268265"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1790 N CONGRESS AVE",
"address_2": "#100",
"city": "BOYNTON BEACH",
"state": "FL",
"postal_code": "334268265",
"telephone_number": "877-395-7426"
}
],
"practiceLocations": [],
"basic": {
"last_name": "IRAVANI",
"first_name": "MINA",
"credential": "D.M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-02-01",
"last_updated": "2016-11-09",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "FL",
"license": "DN22331",
"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 9, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.