Active NPI
Bellagio Dental PLLC
- Dentist
- North Palm Beach, FL
National Provider Identifier
1326738469
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- Legal business name
- BELLAGIO DENTAL PLLC
- Practice address
- 517 Northlake Blvd Ste 3
North Palm Beach, FL 33408-5408 - Phone
- (561) 705-0045
- NPI assigned
- May 11, 2023
- 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. Rose Farrah
- Title
- Owner/Dentist
- Phone
- (561) 705-0045
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | Primary |
Addresses
Primary practice location
517 Northlake Blvd Ste 3
North Palm Beach, FL 33408-5408
Mailing address
517 Northlake Blvd
North Palm Beach, FL 33408-5408
Phone (561) 705-0045
Other names 1
- Bellagio Dental Implant Center
National Provider Directory
National Provider DirectoryLocations
517 Northlake Blvd
Ste 3
North Palm Beach, FL 33408
Phone (561) 705-0045
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1683763200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1683763200000",
"number": "1326738469",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "517 NORTHLAKE BLVD",
"city": "NORTH PALM BEACH",
"state": "FL",
"postal_code": "334085408",
"telephone_number": "561-705-0045"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "517 NORTHLAKE BLVD STE 3",
"city": "NORTH PALM BEACH",
"state": "FL",
"postal_code": "334085408",
"telephone_number": "561-705-0045"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BELLAGIO DENTAL PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2023-05-11",
"last_updated": "2023-05-11",
"certification_date": "2023-05-08",
"status": "A",
"authorized_official_last_name": "FARRAH",
"authorized_official_first_name": "ROSE",
"authorized_official_title_or_position": "OWNER/DENTIST",
"authorized_official_telephone_number": "561-705-0045",
"authorized_official_name_prefix": "Dr."
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Dentist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Bellagio Dental Implant Center",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in North Palm Beach, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.