Boca Raton Center for Oral Facial & Implant Surgery, LLC

Primary specialty

Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X

License

DN16134 Issued in FL

Legal business name

BOCA RATON CENTER FOR ORAL FACIAL & IMPLANT SURGERY, LLC

Practice address

2499 Glades Rd
Suite 309
Boca Raton, FL 33431-7202

Phone

(561) 826-2002

Fax

(561) 826-2003

NPI assigned

May 26, 2009

Organization subpart

No

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

Authorized official

Name

Ms. Carla Piccone

Title

Insurance Coordinator

Phone

(561) 826-2002

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Locations

Practitioners 1

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

• Andrew Gregg Norkin, D.M.D., M.D.

  • Oral & Maxillofacial Surgery (D.M.D.)
  • Boca Raton, FL
  • NPI 1588734438
  Medicare reassignment

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

{
    "created_epoch": "1243296000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1279152000000",
    "number": "1285869933",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2499 GLADES RD",
            "address_2": "SUITE 309",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334317202",
            "telephone_number": "561-826-2002",
            "fax_number": "561-826-2003"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2499 GLADES RD",
            "address_2": "SUITE 309",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334317202",
            "telephone_number": "561-826-2002",
            "fax_number": "561-826-2003"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BOCA RATON CENTER FOR ORAL FACIAL & IMPLANT SURGERY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-05-26",
        "last_updated": "2010-07-15",
        "status": "A",
        "authorized_official_last_name": "PICCONE",
        "authorized_official_first_name": "CARLA",
        "authorized_official_title_or_position": "INSURANCE COORDINATOR",
        "authorized_official_telephone_number": "561-826-2002",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "FL",
            "license": "DN16134",
            "primary": true
        },
        {
            "code": "1223S0112X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "FL",
            "license": "DN17306",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Boca QC Opco LLC
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• Boca Raton Cardiology
• Boca Raton Center for Internal Medicine PLLC
• Boca Raton Center for Office Surgery LLC
• Boca Raton Community Hospital
• Boca Raton Community Hospital
• Boca Raton Counseling Center LLC
• Boca Raton Dental Arts, LLC
• Boca Raton Dental Specialists PLLC

• Oral and Maxillofacial Surgery (Dentist) in Boca Raton, FL
• Providers in Boca Raton, 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 Jul 15, 2010; 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.