Organization Active NPI

Bellagio Dental PLLC

  • Dentist
  • North Palm Beach, FL
National Provider Identifier
1326738469
Registry record updated May 11, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
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

Updated by the provider on May 11, 2023

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)CodeLicenseStatePrimary
DentistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 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 Other name

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.