Organization Active NPI

Boca Jaw Surgery, PA

  • Oral and Maxillofacial Surgery Clinic/Center
  • Delray Beach, FL
National Provider Identifier
1336436096
Registry record updated Jul 1, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral and Maxillofacial Surgery Clinic/CenterTaxonomy code 261QS0112X
License
DN15190 Issued in FL
Legal business name
BOCA JAW SURGERY, PA
Practice address
16110 Jog Rd
Suite 101
Delray Beach, FL 33446-2350
Phone
(561) 499-3331
NPI assigned
Jul 1, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 1, 2011

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

Authorized official

Name
Dr. Ronald L Katz, DMDNPI 1457347932
Title
Oral and Maxillofacial Surgeon
Phone
(561) 499-3331

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
Oral and Maxillofacial Surgery Clinic/Center 261QS0112X DN15190 FL Primary

Addresses

Primary practice location

16110 Jog Rd
Suite 101
Delray Beach, FL 33446-2350

Mailing address

16110 Jog Rd
Suite 101
Delray Beach, FL 33446-2350
Phone (561) 499-3331

National Provider Directory

National Provider Directory

Locations

16110 S Jog Rd
Ste 101
Delray Beach, FL 33446
Phone (561) 381-4052

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": "1309478400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1309478400000",
    "number": "1336436096",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16110 JOG RD",
            "address_2": "SUITE 101",
            "city": "DELRAY BEACH",
            "state": "FL",
            "postal_code": "334462350",
            "telephone_number": "561-499-3331"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16110 JOG RD",
            "address_2": "SUITE 101",
            "city": "DELRAY BEACH",
            "state": "FL",
            "postal_code": "334462350",
            "telephone_number": "561-499-3331"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BOCA JAW SURGERY, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-07-01",
        "last_updated": "2011-07-01",
        "status": "A",
        "authorized_official_last_name": "KATZ",
        "authorized_official_first_name": "RONALD",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "ORAL AND MAXILLOFACIAL SURGEON",
        "authorized_official_telephone_number": "561-499-3331",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "261QS0112X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Oral and Maxillofacial Surgery",
            "state": "FL",
            "license": "DN15190",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Delray Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2011; 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.