Individual provider Active NPI

Bruce Lee Elkind, D.D.S.

  • Dentist
  • Royal Palm Beach, FL
National Provider Identifier
1194746164
Registry record updated Dec 26, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
9426 Issued in FL
Practice address
9100 Belvedere Rd
208
Royal Palm Beach, FL 33411-3607
Phone
(561) 798-4077
Fax
(561) 798-7889
NPI assigned
Jul 22, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 26, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 9426 FL Primary

Addresses

Primary practice location

9100 Belvedere Rd
208
Royal Palm Beach, FL 33411-3607

Mailing address

9100 Belvedere Rd 208
Royal Palm Beach, FL 33411-3609
Phone (561) 798-4077

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160119000068 FL Order and Referring Only - DentistPractitioner - Dentist 5597068064

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
9426FLMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Bruce L. Elkind, DDS, PA Past Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1153526400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1451088000000",
    "number": "1194746164",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9100 BELVEDERE RD 208",
            "city": "ROYAL PALM BEACH",
            "state": "FL",
            "postal_code": "334113609",
            "telephone_number": "561-798-4077",
            "fax_number": "561-798-7889"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9100 BELVEDERE RD",
            "address_2": "208",
            "city": "ROYAL PALM BEACH",
            "state": "FL",
            "postal_code": "334113607",
            "telephone_number": "561-798-4077",
            "fax_number": "561-798-7889"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ELKIND",
        "first_name": "BRUCE",
        "middle_name": "LEE",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-22",
        "last_updated": "2015-12-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "FL",
            "license": "9426",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Royal Palm Beach, FL

Sources for this page

Verify at the official NPI Registry.