Dentist in Palm Beach Gardens, P.a

Primary specialty

DentistTaxonomy code 122300000X

Legal business name

DENTIST IN PALM BEACH GARDENS, P.A

Practice address

3385 Burns Rd
#206
Palm Beach Gardens, FL 33410

Phone

(561) 795-7668

Fax

(561) 771-4284

NPI assigned

Nov 9, 2021

Organization subpart

No

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

Authorized official

Name

Mr. Naren Sirivolo

Title

Office Manager

Phone

(561) 795-7668

Specialties & licenses 1

Addresses

Tax ID family

Dentist in Palm Beach Gardens2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Dentist in Palm Beach Gardens

  • General Practice Dentistry
  • Palm Beach Gardens, FL
  • NPI 1063177566
  NPD tax ID

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Sunitha Sirivolu, D.M.D.

  • General Practice Dentistry
  • Royal Palm Beach, FL
  • NPI 1619081585
  NPD

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

{
    "created_epoch": "1636416000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1636416000000",
    "number": "1154087740",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11903 SOUTHERN BLVD",
            "address_2": "STE #116",
            "city": "ROYAL PALM BEACH",
            "state": "FL",
            "postal_code": "33411",
            "telephone_number": "561-795-7668",
            "fax_number": "561-771-4284"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3385 BURNS RD",
            "address_2": "#206",
            "city": "PALM BEACH GARDENS",
            "state": "FL",
            "postal_code": "33410",
            "telephone_number": "561-795-7668",
            "fax_number": "561-771-4284"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DENTIST IN PALM BEACH GARDENS, P.A",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-11-09",
        "last_updated": "2021-11-09",
        "certification_date": "2021-11-09",
        "status": "A",
        "authorized_official_last_name": "SIRIVOLO",
        "authorized_official_first_name": "NAREN",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "561-795-7668",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Hannah Joann Denkler
• Jessica Denson
• Dental Asset Management
• Dentist Day Off
• Dentist in Palm Beach Gardens
• Dentistry for Children of Florida, PLLC
• Dentists of Palm Beach Gardens, PA
• Jose Antonio Deolazabal, D.O.
• Joey Nicole Depaola
• Keri Depatis, PHARMD

• Dentist in Palm Beach Gardens, FL
• Providers in Palm Beach Gardens, FL by specialty
• Dentist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 2021; 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.