Active NPI
Dental Arts of Boynton Beach
- General Practice Dentistry
- Boynton Beach, FL
National Provider Identifier
1316429780
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- 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
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.
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 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 DirectoryLocations
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.
-
- General Practice Dentistry
- Boynton Beach, FL
- NPI 1104258417
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.