Active NPI
Miguel Fernando Borda, P.a.
- General Practice Dentistry
- West Palm Beach, FL
National Provider Identifier
1306202916
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- DN19392
- Legal business name
- MIGUEL FERNANDO BORDA, P.A.
- Practice address
- 1825 Forest Hill Blvd
Suite 205
West Palm Beach, FL 33406-8902 - Phone
- (561) 733-9099
- NPI assigned
- Jan 12, 2016
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Gilberto Herrera
- Title
- Manager
- Phone
- (561) 312-9372
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | DN19392 | FL | Primary |
| Orthodontics and Dentofacial Orthopedics Dentistry | 1223X0400X | DN19160 | FL |
Addresses
Primary practice location
1825 Forest Hill Blvd
Suite 205
West Palm Beach, FL 33406-8902
Mailing address
1825 Forest Hill Blvd
Suite 205
West Palm Beach, FL 33406-8902
Phone (561) 733-9099
Other names 1
- BGR Dental
National Provider Directory
National Provider Directory- Tax ID family
- BGR Dental
Other organizations with this tax ID 2
Organizations that report the same tax identification number in the National Provider Directory.
-
- General Practice Dentistry
- West Palm Beach, FL
- NPI 1841642360
-
- General Practice Dentistry
- Hollywood, FL
- NPI 1235475633
Locations
1825 Forest Hill Blvd
Ste 205
West Palm Beach, FL 33406
Phone (561) 733-9099
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1452556800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1452556800000",
"number": "1306202916",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1825 FOREST HILL BLVD",
"address_2": "SUITE 205",
"city": "WEST PALM BEACH",
"state": "FL",
"postal_code": "334068902",
"telephone_number": "561-733-9099"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1825 FOREST HILL BLVD",
"address_2": "SUITE 205",
"city": "WEST PALM BEACH",
"state": "FL",
"postal_code": "334068902",
"telephone_number": "561-733-9099"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MIGUEL FERNANDO BORDA, P.A.",
"organizational_subpart": "NO",
"enumeration_date": "2016-01-12",
"last_updated": "2016-01-12",
"status": "A",
"authorized_official_last_name": "HERRERA",
"authorized_official_first_name": "GILBERTO",
"authorized_official_title_or_position": "MANAGER",
"authorized_official_telephone_number": "561-312-9372",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Dentist, General Practice",
"state": "FL",
"license": "DN19392",
"primary": true
},
{
"code": "1223X0400X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
"state": "FL",
"license": "DN19160",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "BGR Dental",
"code": "3",
"type": "Doing Business As"
}
]
}
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 Jan 12, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.