Bita Khoshrou DMD of Boynton PA

Primary specialty

DentistTaxonomy code 122300000X

Legal business name

BITA KHOSHROU DMD OF BOYNTON PA

Practice address

374 N Congress Ave
Boynton Beach, FL 33426-3414

Phone

(817) 715-9658

NPI assigned

Sep 26, 2019

Last updated

Sep 26, 2019By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Bita Khoshrou, DMDNPI 1790178820

Title

Ceo

Phone

(817) 715-9658

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Bita Khoshrou, DMD

  • Dentist
  • Philadelphia, PA
  • NPI 1790178820
  NPD Authorized official

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

{
    "created_epoch": "1569456000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1569456000000",
    "number": "1306497680",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1010 BEAR ISLAND DR",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334092011",
            "telephone_number": "817-715-9658"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "374 N CONGRESS AVE",
            "city": "BOYNTON BEACH",
            "state": "FL",
            "postal_code": "334263414",
            "telephone_number": "817-715-9658"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BITA KHOSHROU DMD OF BOYNTON PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-09-26",
        "last_updated": "2019-09-26",
        "status": "A",
        "authorized_official_last_name": "KHOSHROU",
        "authorized_official_first_name": "BITA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "817-715-9658",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Dentist in Boynton Beach, FL
• Providers in Boynton Beach, FL by specialty
• Dentist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2019; 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.