NPIMap

Organization Active NPI

Green Dental Studio Boca

  • Dental Clinic/Center
  • Boca Raton, FL
National Provider Identifier
1174491492
Registry record updated Oct 28, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
GREEN DENTAL STUDIO BOCA
Practice address
240 W Palmetto Park Rd Ste 205
Boca Raton, FL 33432-3761
Phone
(561) 393-9122
NPI assigned
Oct 28, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 28, 2025

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

Authorized official

Name
Jose AlfonsoNPI 1760008486
Title
Owner
Phone
(786) 614-8927

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
Dental Clinic/Center 261QD0000X Primary

Addresses

Primary practice location

240 W Palmetto Park Rd Ste 205
Boca Raton, FL 33432-3761

Mailing address

240 W Palmetto Park Rd Ste 205
Boca Raton, FL 33432-3761

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

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": "1761609600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1761609600000",
    "number": "1174491492",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "240 W PALMETTO PARK RD STE 205",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334323761"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "240 W PALMETTO PARK RD STE 205",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334323761",
            "telephone_number": "561-393-9122"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREEN DENTAL STUDIO BOCA",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-10-28",
        "last_updated": "2025-10-28",
        "certification_date": "2025-10-28",
        "status": "A",
        "authorized_official_last_name": "ALFONSO",
        "authorized_official_first_name": "JOSE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "786-614-8927"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "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 Oct 28, 2025; 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.