NPIMap

Organization Active NPI

Florida Institute for Periodontics & Dental Implants, P.a.

  • Periodontics
  • Wellington, FL
National Provider Identifier
1316225121
Registry record updated Jul 27, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
PeriodonticsTaxonomy code 1223P0300X
Legal business name
FLORIDA INSTITUTE FOR PERIODONTICS & DENTAL IMPLANTS, P.A.
Practice address
1300 Corporate Center Way
Suite 204
Wellington, FL 33414-8599
Phone
(561) 792-7084
Fax
(561) 853-0793
NPI assigned
Jul 27, 2011
Last updated
Jul 27, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 27, 2011

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

Authorized official

Name
Dr. Robert Holt, D.M.D.NPI 1306124102
Title
President/Dentist
Phone
(561) 655-1700

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
Periodontics 1223P0300X NU Primary

Addresses

Primary practice location

1300 Corporate Center Way
Suite 204
Wellington, FL 33414-8599

Mailing address

1515 N Flagler Dr
Suite 301
West Palm Beach, FL 33401-3428
Phone (561) 655-1700

National Provider Directory

National Provider Directory
Tax ID family
Florida Institute for Periodontics Dental Implants PA2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

1300 Corporate Center Way
Ste 204
Wellington, FL 33414
Phone (561) 792-7084

Practitioners & affiliated clinicians

Practitioners 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1311724800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1311724800000",
    "number": "1316225121",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1515 N FLAGLER DR",
            "address_2": "SUITE 301",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334013428",
            "telephone_number": "561-655-1700",
            "fax_number": "561-853-0793"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1300 CORPORATE CENTER WAY",
            "address_2": "SUITE 204",
            "city": "WELLINGTON",
            "state": "FL",
            "postal_code": "334148599",
            "telephone_number": "561-792-7084",
            "fax_number": "561-853-0793"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FLORIDA INSTITUTE FOR PERIODONTICS & DENTAL IMPLANTS, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-07-27",
        "last_updated": "2011-07-27",
        "status": "A",
        "authorized_official_last_name": "HOLT",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_title_or_position": "PRESIDENT/DENTIST",
        "authorized_official_telephone_number": "561-655-1700",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.M.D."
    },
    "taxonomies": [
        {
            "code": "1223P0300X",
            "taxonomy_group": "",
            "desc": "Dentist, Periodontics",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Jul 27, 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.