NPIMap

Organization Active NPI

Lena Habib DMD PA

Doing business as South Palm Dental

  • Dental Clinic/Center
  • Boynton Beach, FL
National Provider Identifier
1235419573
Registry record updated Aug 18, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
License
DN17961 Issued in FL
Legal business name
LENA HABIB DMD PA
Doing business as
South Palm Dental
Practice address
555 N Congress Ave
Suite 303
Boynton Beach, FL 33426-3469
Phone
(561) 301-8822
NPI assigned
Aug 18, 2011
Last updated
Aug 18, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 18, 2011

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

Authorized official

Name
Dr. Mary Helen S Habib, DMDNPI 1881899631
Title
President
Phone
(561) 301-8822

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X DN17961 FL Primary

Addresses

Primary practice location

555 N Congress Ave
Suite 303
Boynton Beach, FL 33426-3469

Mailing address

555 N Congress Ave
Suite 303
Boynton Beach, FL 33426-3469
Phone (561) 301-8822

Other identifiers 1

IdentifierTypeStateIssuer
1881899631OtherFLNPI

Other names 1

  • South Palm Dental Doing business as

National Provider Directory

National Provider Directory

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": "1313625600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1313625600000",
    "number": "1235419573",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "555 N CONGRESS AVE",
            "address_2": "SUITE 303",
            "city": "BOYNTON BEACH",
            "state": "FL",
            "postal_code": "334263469",
            "telephone_number": "561-301-8822"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "555 N CONGRESS AVE",
            "address_2": "SUITE 303",
            "city": "BOYNTON BEACH",
            "state": "FL",
            "postal_code": "334263469",
            "telephone_number": "561-301-8822"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LENA HABIB DMD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-08-18",
        "last_updated": "2011-08-18",
        "status": "A",
        "authorized_official_last_name": "HABIB",
        "authorized_official_first_name": "MARY HELEN",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "561-301-8822",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "FL",
            "license": "DN17961",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1881899631",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "South Palm Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Aug 18, 2011; 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.