Organization Active NPI

Sean Geary Endodontics LLC

  • Endodontics
  • Boynton Beach, FL
National Provider Identifier
1174349369
Registry record updated Dec 3, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
EndodonticsTaxonomy code 1223E0200X
Legal business name
SEAN GEARY ENDODONTICS LLC
Doing business as
Revive Endodontics
Practice address
8188 S Jog Rd Ste 204
Boynton Beach, FL 33472-2952
Phone
(561) 327-9806
Fax
(561) 327-6885
NPI assigned
Dec 3, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 3, 2024

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

Authorized official

Name
Sean Geary, DMDNPI 1730560483
Title
Owner Dentist
Phone
(314) 680-8971

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
EndodonticsGroup: 193400000X SINGLE SPECIALTY GROUP 1223E0200X Primary

Addresses

Primary practice location

8188 S Jog Rd Ste 204
Boynton Beach, FL 33472-2952

Mailing address

8188 S Jog Rd Ste 204
Boynton Beach, FL 33472-2952
Phone (561) 327-9806

Other names 1

  • Revive Endodontics Doing business as

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.

NPI Registry JSON

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

{
    "created_epoch": "1733184000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1733184000000",
    "number": "1174349369",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8188 S JOG RD STE 204",
            "city": "BOYNTON BEACH",
            "state": "FL",
            "postal_code": "334722952",
            "telephone_number": "561-327-9806"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8188 S JOG RD STE 204",
            "city": "BOYNTON BEACH",
            "state": "FL",
            "postal_code": "334722952",
            "telephone_number": "561-327-9806",
            "fax_number": "561-327-6885"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SEAN GEARY ENDODONTICS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-12-03",
        "last_updated": "2024-12-03",
        "certification_date": "2024-12-03",
        "status": "A",
        "authorized_official_last_name": "GEARY",
        "authorized_official_first_name": "SEAN",
        "authorized_official_title_or_position": "OWNER DENTIST",
        "authorized_official_telephone_number": "314-680-8971",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223E0200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Endodontics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Revive Endodontics",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Dec 3, 2024; 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.