NPIMap

Organization Active NPI

San Enterprises, Inc.

  • Point of Service
  • West Palm Beach, FL
National Provider Identifier
1255674032
Registry record updated Mar 31, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Point of ServiceTaxonomy code 305S00000X
License
10D2054584 Issued in FL
Legal business name
SAN ENTERPRISES, INC.
Practice address
8047 45TH Way N
West Palm Beach, FL 33418-6170
Phone
(410) 475-9072
NPI assigned
Mar 31, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 31, 2013

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

Authorized official

Name
Sean Akton Benwell
Title
Operations Manager
Phone
(410) 375-9072

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Point of Service 305S00000X 10D2054584 FL Primary

Addresses

Primary practice location

8047 45TH Way N
West Palm Beach, FL 33418-6170

Mailing address

6742 Forest Hill Blvd
Suite 259
Greenacres, FL 33413-3321
Phone (410) 375-9072

National Provider Directory

National Provider Directory
Tax ID family
San Enterprises Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1364688000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1364688000000",
    "number": "1255674032",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6742 FOREST HILL BLVD",
            "address_2": "SUITE 259",
            "city": "GREENACRES",
            "state": "FL",
            "postal_code": "334133321",
            "telephone_number": "410-375-9072"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8047 45TH WAY N",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334186170",
            "telephone_number": "410-475-9072"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAN ENTERPRISES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-03-31",
        "last_updated": "2013-03-31",
        "status": "A",
        "authorized_official_last_name": "BENWELL",
        "authorized_official_first_name": "SEAN",
        "authorized_official_middle_name": "AKTON",
        "authorized_official_title_or_position": "OPERATIONS MANAGER",
        "authorized_official_telephone_number": "410-375-9072"
    },
    "taxonomies": [
        {
            "code": "305S00000X",
            "taxonomy_group": "",
            "desc": "Point of Service",
            "state": "FL",
            "license": "10D2054584",
            "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 Mar 31, 2013; 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.