Organization Active NPI

Dental Arts of Boynton Beach

  • General Practice Dentistry
  • Boynton Beach, FL
National Provider Identifier
1316429780
Registry record updated Sep 3, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
DENTAL ARTS OF BOYNTON BEACH
Practice address
10150 Hagen Ranch Rd Ste 202
Boynton Beach, FL 33437-3776
Phone
(561) 767-9595
Fax
(561) 767-9569
NPI assigned
Sep 3, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 3, 2018

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

Authorized official

Name
Dr. Domenick Andrew Cerullo, D.M.D.NPI 1104258417
Title
President, Dentist
Phone
(561) 767-9595

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
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X Primary

Addresses

Primary practice location

10150 Hagen Ranch Rd Ste 202
Boynton Beach, FL 33437-3776

Mailing address

10150 Hagen Ranch Rd Ste 202
Boynton Beach, FL 33437-3776
Phone (561) 767-9595

National Provider Directory

National Provider Directory

Locations

10150 Hagen Ranch Rd
Ste 202
Boynton Beach, FL 33437
Phone (561) 767-9595

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": "1535932800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1535932800000",
    "number": "1316429780",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10150 HAGEN RANCH RD STE 202",
            "city": "BOYNTON BEACH",
            "state": "FL",
            "postal_code": "334373776",
            "telephone_number": "561-767-9595",
            "fax_number": "561-767-9569"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10150 HAGEN RANCH RD STE 202",
            "city": "BOYNTON BEACH",
            "state": "FL",
            "postal_code": "334373776",
            "telephone_number": "561-767-9595",
            "fax_number": "561-767-9569"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DENTAL ARTS OF BOYNTON BEACH",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-09-03",
        "last_updated": "2018-09-03",
        "status": "A",
        "authorized_official_last_name": "CERULLO",
        "authorized_official_first_name": "DOMENICK",
        "authorized_official_middle_name": "ANDREW",
        "authorized_official_title_or_position": "PRESIDENT, DENTIST",
        "authorized_official_telephone_number": "561-767-9595",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.M.D."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boynton Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 2018; 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.