NPIMap

Organization Active NPI

Dental Concepts PA

  • Dental Clinic/Center
  • Boca Raton, FL
National Provider Identifier
1306122189
Registry record updated Oct 25, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
License
5640 Issued in FL
Legal business name
DENTAL CONCEPTS PA
Practice address
2500 N Military TRL
Suite 230
Boca Raton, FL 33431-6344
Phone
(561) 241-1010
Fax
(561) 241-1140
NPI assigned
Oct 25, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 25, 2011

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

Authorized official

Name
Dr. Bruce Braverman, D.M.D.NPI 1871695817
Title
President
Phone
(561) 241-1010

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X 5640 FL Primary

Addresses

Primary practice location

2500 N Military TRL
Suite 230
Boca Raton, FL 33431-6344

Mailing address

2500 N Military TRL
Suite 230
Boca Raton, FL 33431-6344
Phone (561) 241-1010

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.

NPI Registry JSON

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

{
    "created_epoch": "1319500800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1319500800000",
    "number": "1306122189",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2500 N MILITARY TRL",
            "address_2": "SUITE 230",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334316344",
            "telephone_number": "561-241-1010",
            "fax_number": "561-241-1140"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2500 N MILITARY TRL",
            "address_2": "SUITE 230",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334316344",
            "telephone_number": "561-241-1010",
            "fax_number": "561-241-1140"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DENTAL CONCEPTS PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-10-25",
        "last_updated": "2011-10-25",
        "status": "A",
        "authorized_official_last_name": "BRAVERMAN",
        "authorized_official_first_name": "BRUCE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "561-241-1010",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.M.D."
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "FL",
            "license": "5640",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boca Raton, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 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.