NPIMap

Organization Active NPI

Big Tooth Boca, LLC.

  • Pediatric Dentistry
  • Boca Raton, FL
National Provider Identifier
1154574309
Registry record updated Nov 1, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
License
16165 Issued in FL
Legal business name
BIG TOOTH BOCA, LLC.
Practice address
21301 Powerline Rd
Suite 208
Boca Raton, FL 33433-2388
Phone
(561) 482-8000
Fax
(561) 488-2936
NPI assigned
Nov 1, 2008
Last updated
Nov 1, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 1, 2008

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

Authorized official

Name
Dr. Gloria Jacqueline Galvez, D.D.S.NPI 1851486443
Title
Managing Member
Phone
(561) 482-8000

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223P0221X 16165 FL Primary

Addresses

Primary practice location

21301 Powerline Rd
Suite 208
Boca Raton, FL 33433-2388

Mailing address

21301 Powerline Rd
Suite 208
Boca Raton, FL 33433-2388
Phone (561) 482-8000

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1225497600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1225497600000",
    "number": "1154574309",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21301 POWERLINE RD",
            "address_2": "SUITE 208",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334332388",
            "telephone_number": "561-482-8000",
            "fax_number": "561-488-2936"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21301 POWERLINE RD",
            "address_2": "SUITE 208",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334332388",
            "telephone_number": "561-482-8000",
            "fax_number": "561-488-2936"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BIG TOOTH BOCA, LLC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-11-01",
        "last_updated": "2008-11-01",
        "status": "A",
        "authorized_official_last_name": "GALVEZ",
        "authorized_official_first_name": "GLORIA",
        "authorized_official_middle_name": "JACQUELINE",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "561-482-8000",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "FL",
            "license": "16165",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boca Raton, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 2008; 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.