NPIMap

Organization Active NPI

Premier Orthodontic and Pediatric Dentistry

  • Pediatric Dentistry
  • Wellington, FL
National Provider Identifier
1306561410
Registry record updated Oct 11, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
Legal business name
PREMIER ORTHODONTIC AND PEDIATRIC DENTISTRY
Practice address
1037 S State Road 7 Ste 215
Wellington, FL 33414-6140
Phone
(561) 421-5667
Fax
(561) 225-1136
NPI assigned
Oct 11, 2022
Organization subpart
Yes
Parent organization
PREMIER GENERAL AND COSMETIC DENTISTRYAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Oct 11, 2022

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

Authorized official

Name
Amelia K Burke
Title
Admin
Phone
(561) 421-5667

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223P0221X Primary

Addresses

Primary practice location

1037 S State Road 7 Ste 215
Wellington, FL 33414-6140

Mailing address

1037 S State Road 7 Ste 215
Wellington, FL 33414-6140
Phone (561) 333-4568

Other names 1

  • POP Wellington Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address info@popwellington.com Direct

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

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": "1665446400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1665446400000",
    "number": "1306561410",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1037 S STATE ROAD 7 STE 215",
            "city": "WELLINGTON",
            "state": "FL",
            "postal_code": "334146140",
            "telephone_number": "561-333-4568",
            "fax_number": "561-225-1136"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1037 S STATE ROAD 7 STE 215",
            "city": "WELLINGTON",
            "state": "FL",
            "postal_code": "334146140",
            "telephone_number": "561-421-5667",
            "fax_number": "561-225-1136"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PREMIER ORTHODONTIC AND PEDIATRIC DENTISTRY",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "PREMIER GENERAL AND COSMETIC DENTISTRY",
        "enumeration_date": "2022-10-11",
        "last_updated": "2022-10-11",
        "certification_date": "2022-10-11",
        "status": "A",
        "authorized_official_last_name": "BURKE",
        "authorized_official_first_name": "AMELIA",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "ADMIN",
        "authorized_official_telephone_number": "561-421-5667"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "info@popwellington.com",
            "affiliation": "N",
            "endpointDescription": "Office email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "1037 S State Road 7 Ste 215",
            "city": "Wellington",
            "state": "FL",
            "country_code": "US",
            "postal_code": "334146140",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "POP Wellington",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Wellington, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2022; 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.