NPIMap

Organization Active NPI

Royal Palm Dental Associates, P.a.

  • General Practice Dentistry
  • Royal Palm Beach, FL
National Provider Identifier
1336298017
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DN10503 Issued in FL
Legal business name
ROYAL PALM DENTAL ASSOCIATES, P.A.
Practice address
11358 Okeechobee Blvd
Suite 1
Royal Palm Beach, FL 33411-8723
Phone
(561) 790-0177
Fax
(561) 790-5291
NPI assigned
Jan 10, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. David Goldberg, D.D.S.NPI 1326196791
Title
President
Phone
(561) 790-0177

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 Dentistry 1223G0001X DN10503 FL Primary

Addresses

Primary practice location

11358 Okeechobee Blvd
Suite 1
Royal Palm Beach, FL 33411-8723

Mailing address

11358 Okeechobee Blvd
Suite 1
Royal Palm Beach, FL 33411-8723
Phone (561) 790-0177

National Provider Directory

National Provider Directory

Locations

11358 Okeechobee Blvd
Ste 1
Royal Palm Beach, FL 33411
Phone (561) 790-0177

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": "1168387200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1336298017",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11358 OKEECHOBEE BLVD",
            "address_2": "SUITE 1",
            "city": "ROYAL PALM BEACH",
            "state": "FL",
            "postal_code": "334118723",
            "telephone_number": "561-790-0177",
            "fax_number": "561-790-5291"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11358 OKEECHOBEE BLVD",
            "address_2": "SUITE 1",
            "city": "ROYAL PALM BEACH",
            "state": "FL",
            "postal_code": "334118723",
            "telephone_number": "561-790-0177",
            "fax_number": "561-790-5291"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROYAL PALM DENTAL ASSOCIATES, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-10",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "GOLDBERG",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "561-790-0177",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "FL",
            "license": "DN10503",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Royal Palm Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.