Organization Active NPI

Impressions Dentistry Inc

  • Dental Clinic/Center
  • West Palm Beach, FL
National Provider Identifier
1215757950
Registry record updated Oct 16, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
IMPRESSIONS DENTISTRY INC
Practice address
1515 N Flagler Dr Ste 520
West Palm Beach, FL 33401-3430
Phone
(561) 655-8066
NPI assigned
Oct 16, 2024
Last updated
Oct 16, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 16, 2024

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

Authorized official

Name
Andrea Leon, OM
Title
Office Administrator
Phone
(561) 655-8066

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X Primary

Addresses

Primary practice location

1515 N Flagler Dr Ste 520
West Palm Beach, FL 33401-3430

Mailing address

1515 N Flagler Dr Ste 520
West Palm Beach, FL 33401-3430
Phone (561) 655-8066

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, 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": "1729036800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1729036800000",
    "number": "1215757950",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1515 N FLAGLER DR STE 520",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334013430",
            "telephone_number": "561-655-8066"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1515 N FLAGLER DR STE 520",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334013430",
            "telephone_number": "561-655-8066"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IMPRESSIONS DENTISTRY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-10-16",
        "last_updated": "2024-10-16",
        "certification_date": "2024-10-16",
        "status": "A",
        "authorized_official_last_name": "LEON",
        "authorized_official_first_name": "ANDREA",
        "authorized_official_title_or_position": "OFFICE ADMINISTRATOR",
        "authorized_official_telephone_number": "561-655-8066",
        "authorized_official_credential": "OM"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Palm Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2024; 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.