Boynton Oral Surgery and Implant Center PLLC

Primary specialty

Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X

Legal business name

BOYNTON ORAL SURGERY AND IMPLANT CENTER PLLC

Practice address

3695 W Boynton Beach Blvd Ste 1
Boynton Beach, FL 33436-4516

Phone

(561) 364-1800

NPI assigned

Sep 10, 2019

Organization subpart

No

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

Authorized official

Name

Mike Cole

Title

VP Insurance Plan Management

Phone

(941) 955-3150

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Paul Michael Bucking, DMD, MD

  • Oral & Maxillofacial Surgery (D.M.D.)
  • Jacksonville, FL
  • NPI 1699188391

  Oral and Maxillofacial Surgery

  Medicare reassignment Care Compare group NPD
• Derek Timothy King, D.M.D.

  • Oral and Maxillofacial Surgery (Dentist)
  • Boynton Beach, FL
  • NPI 1154611176
  Medicare reassignment Care Compare group NPD
• Nicky Martin Tovar

  • Oral and Maxillofacial Surgery (Dentist)
  • Boynton Beach, FL
  • NPI 1528623154
  Medicare reassignment Care Compare group NPD
• David Mark Feinerman, D.M.D., M.D.

  • Oral and Maxillofacial Surgery (Dentist)
  • Boynton Beach, FL
  • NPI 1881702223
  Medicare reassignment NPD
• Justin Schneider, DMD

  • Oral and Maxillofacial Surgery (Dentist)
  • Hialeah, FL
  • NPI 1881074425
  Medicare reassignment NPD
• Robert S Schaedel, DMD MD

  • Oral and Maxillofacial Surgery (Dentist)
  • South Portland, ME
  • NPI 1417053034

  FL

  Medicare reassignment NPD

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

{
    "created_epoch": "1568073600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1580256000000",
    "number": "1255980447",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3695 W BOYNTON BEACH BLVD STE 1",
            "city": "BOYNTON BEACH",
            "state": "FL",
            "postal_code": "334364516",
            "telephone_number": "561-364-1800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3695 W BOYNTON BEACH BLVD STE 1",
            "city": "BOYNTON BEACH",
            "state": "FL",
            "postal_code": "334364516",
            "telephone_number": "561-364-1800"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3695 W Boynton Beach Blvd Ste 6",
            "address_purpose": "LOCATION",
            "city": "Boynton Beach",
            "state": "FL",
            "postal_code": "334364516",
            "country_code": "US",
            "telephone_number": "561-364-1800",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "BOYNTON ORAL SURGERY AND IMPLANT CENTER PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-09-10",
        "last_updated": "2020-01-29",
        "certification_date": "2020-01-29",
        "status": "A",
        "authorized_official_last_name": "COLE",
        "authorized_official_first_name": "MIKE",
        "authorized_official_title_or_position": "VP INSURANCE PLAN MANAGEMENT",
        "authorized_official_telephone_number": "941-955-3150"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Boynton Physical Medicine Inc
• Boynton Physicians Group LLC
• Boynton Primary Care, LLC
• Boynton Quality Medical Center

• Oral and Maxillofacial Surgery (Dentist) in Boynton Beach, FL
• Providers in Boynton Beach, FL by specialty
• Oral and Maxillofacial Surgery (Dentist) in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.