NPIMap

Organization Active NPI

C-Bar Dental,LLC

  • General Practice Dentistry
  • Lake Worth, FL
National Provider Identifier
1205371259
Registry record updated Jan 5, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
C-BAR DENTAL,LLC
Practice address
1702 S Dixie Hwy
Suite C1
Lake Worth, FL 33460-5886
Phone
(561) 223-3501
NPI assigned
Dec 29, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 5, 2017

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

Authorized official

Name
Genese Dezilme
Title
Practice Consultant Manager
Phone
(561) 752-6304

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X Primary

Addresses

Primary practice location

1702 S Dixie Hwy
Suite C1
Lake Worth, FL 33460-5886

Mailing address

1702 S Dixie Hwy
Suite C1
Lake Worth, FL 33460-5886
Phone (561) 223-3501

National Provider Directory

National Provider Directory

Locations

1702 S Dixie Hwy
Ste C1
Lake Worth, FL 33460
Phone (561) 223-3501

NPI Registry JSON

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

{
    "created_epoch": "1482969600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1483574400000",
    "number": "1205371259",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1702 S DIXIE HWY",
            "address_2": "SUITE C1",
            "city": "LAKE WORTH",
            "state": "FL",
            "postal_code": "334605886",
            "telephone_number": "561-223-3501"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1702 S DIXIE HWY",
            "address_2": "SUITE C1",
            "city": "LAKE WORTH",
            "state": "FL",
            "postal_code": "334605886",
            "telephone_number": "561-223-3501"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "C-BAR DENTAL,LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-12-29",
        "last_updated": "2017-01-05",
        "status": "A",
        "authorized_official_last_name": "DEZILME",
        "authorized_official_first_name": "GENESE",
        "authorized_official_title_or_position": "PRACTICE  CONSULTANT MANAGER",
        "authorized_official_telephone_number": "561-752-6304"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lake Worth, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 2017; 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.