Southeastern Dental Associates I

Primary specialty

PeriodonticsTaxonomy code 1223P0300X

License

DN15761 Issued in FL

Legal business name

SOUTHEASTERN DENTAL ASSOCIATES I

Practice address

200 Knuth Road
Suite 106
Boynton Beach, FL 33436

Phone

(561) 738-9007

Fax

(561) 738-9963

NPI assigned

Nov 6, 2006

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Kenneth D Rubinstein, DMDNPI 1144380189

Title

Co Owner

Phone

(561) 738-9007

Specialties & licenses 2

Addresses

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

• Southeastrern Dental Assoc, VII, PA

  • Periodontics
  • Miami, FL
  • NPI 1669703443
  NPPES parent name

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.

• Kenneth D Rubinstein, DMD

  • Periodontics
  • Boynton Beach, FL
  • NPI 1144380189
  Authorized official Same address or phone

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

{
    "created_epoch": "1162771200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1154400497",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 KNUTH ROAD",
            "address_2": "SUITE 106",
            "city": "BOYNTON BEACH",
            "state": "FL",
            "postal_code": "33436",
            "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": "200 KNUTH ROAD",
            "address_2": "SUITE 106",
            "city": "BOYNTON BEACH",
            "state": "FL",
            "postal_code": "33436",
            "telephone_number": "561-738-9007",
            "fax_number": "561-738-9963"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHEASTERN DENTAL ASSOCIATES I",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-06",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "RUBINSTEIN",
        "authorized_official_first_name": "KENNETH",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "CO OWNER",
        "authorized_official_telephone_number": "561-738-9007",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223P0300X",
            "taxonomy_group": "",
            "desc": "Dentist, Periodontics",
            "state": "FL",
            "license": "DN14485",
            "primary": false
        },
        {
            "code": "1223P0300X",
            "taxonomy_group": "",
            "desc": "Dentist, Periodontics",
            "state": "FL",
            "license": "DN15761",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• South Florida Speech and Language Services, Inc,
• South Florida Surgical Specialists, LLC
• South Florida Vision Services, Inc.
• South Palm Medical Associates
• South Palm Orthospine Institute
• Southern Anesthesia Providers, Inc.
• Southlake Surgical Assistant Services LLC
• Sovereign Healthcare of Boynton Beach, LLC (Boynton Beach Rehabilitation Center)
• Sovereign Healthcare of West Palm Beach, LLC (Boulevard Rehabilitation Center)
• Christine Sowers

• Periodontics in Boynton Beach, FL
• Providers in Boynton Beach, FL by specialty
• Periodontics in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.