NPIMap

Organization Active NPI

Little Smiles Dental Office # 3

  • Dental Clinic/Center
  • Boynton Beach, FL
National Provider Identifier
1215296298
Registry record updated May 10, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
License
DN15894 Issued in FL
Legal business name
LITTLE SMILES DENTAL OFFICE # 3
Practice address
3469 W Boynton Beach Blvd
Suite Number 20
Boynton Beach, FL 33436-4611
Phone
(561) 736-8755
Fax
(561) 736-3996
NPI assigned
May 10, 2012
Organization subpart
Yes
Parent organization
LITTLE SMILE DENTAL OFFICE #1As reported in NPPES

NPPES NPI Registry

Updated by the provider on May 10, 2012

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

Authorized official

Name
Dr. Bayardo C Cortes, DMDNPI 1174604896
Title
Owner
Phone
(305) 698-7566

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 DN15894 FL Primary

Addresses

Primary practice location

3469 W Boynton Beach Blvd
Suite Number 20
Boynton Beach, FL 33436-4611

Mailing address

3469 W Boynton Beach Blvd
Suite Number 20
Boynton Beach, FL 33436-4611
Phone (561) 736-8755

Other identifiers 1

IdentifierTypeStateIssuer
075542702MedicaidFL

National Provider Directory

National Provider Directory
Part of
Little Smiles Dental Office 1

Locations

3469 W Boynton Beach Blvd
Ste 20
Boynton Beach, FL 33436
Phone (561) 736-8755

Practitioners & affiliated clinicians

Practitioners 2

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": "1336608000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1336608000000",
    "number": "1215296298",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3469 W BOYNTON BEACH BLVD",
            "address_2": "SUITE NUMBER 20",
            "city": "BOYNTON BEACH",
            "state": "FL",
            "postal_code": "334364611",
            "telephone_number": "561-736-8755",
            "fax_number": "561-736-3996"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3469 W BOYNTON BEACH BLVD",
            "address_2": "SUITE NUMBER 20",
            "city": "BOYNTON BEACH",
            "state": "FL",
            "postal_code": "334364611",
            "telephone_number": "561-736-8755",
            "fax_number": "561-736-3996"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LITTLE SMILES DENTAL OFFICE # 3",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "LITTLE SMILE DENTAL OFFICE  #1",
        "enumeration_date": "2012-05-10",
        "last_updated": "2012-05-10",
        "status": "A",
        "authorized_official_last_name": "CORTES",
        "authorized_official_first_name": "BAYARDO",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "305-698-7566",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "FL",
            "license": "DN15894",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "075542702",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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 May 10, 2012; 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.