NPIMap

Organization Active NPI

Stellar Smiles Inc.

  • General Practice Dentistry
  • Boca Raton, FL
National Provider Identifier
1194326843
Registry record updated Feb 1, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
STELLAR SMILES INC.
Practice address
9070 Kimberly Blvd Ste 51
Boca Raton, FL 33434-2861
Phone
(561) 990-2934
NPI assigned
Nov 7, 2020
Last updated
Feb 1, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 1, 2021

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

Authorized official

Name
Dr. Emmanuelly Morales, DDSNPI 1063874006
Title
Dentist
Phone
(646) 894-1098

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
General Practice Dentistry 1223G0001X NU Primary

Addresses

Primary practice location

9070 Kimberly Blvd Ste 51
Boca Raton, FL 33434-2861

Mailing address

1050 Audace Ave Apt 311
Boynton Beach, FL 33426-3354
Phone (646) 894-1098

National Provider Directory

National Provider Directory

Locations

1501 Corporate Dr
Apt 311
Boynton Beach, FL 33426

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": "1604707200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1612137600000",
    "number": "1194326843",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1050 AUDACE AVE APT 311",
            "city": "BOYNTON BEACH",
            "state": "FL",
            "postal_code": "334263354",
            "telephone_number": "646-894-1098"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9070 KIMBERLY BLVD STE 51",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334342861",
            "telephone_number": "561-990-2934"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STELLAR SMILES INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-11-07",
        "last_updated": "2021-02-01",
        "certification_date": "2021-02-01",
        "status": "A",
        "authorized_official_last_name": "MORALES",
        "authorized_official_first_name": "EMMANUELLY",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "646-894-1098",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NU",
            "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 Feb 1, 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.