Organization Active NPI

Reda a. Abdel-Fattah & Mervat M. Alattar

  • Public Health Dentistry
  • Boca Raton, FL
National Provider Identifier
1336525112
Registry record updated Aug 6, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Public Health DentistryTaxonomy code 1223D0001X
Legal business name
REDA A. ABDEL-FATTAH & MERVAT M. ALATTAR
Practice address
1050 NW 15TH St
Suite 211a
Boca Raton, FL 33486-1375
Phone
(561) 391-5331
Fax
(561) 750-1502
NPI assigned
Aug 4, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 6, 2019

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

Authorized official

Name
Dr. Reda Abdel-Fattah, DDSNPI 1356484109
Title
Owner
Phone
(561) 391-5331

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
Public Health DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223D0001X Primary

Addresses

Primary practice location

1050 NW 15TH St
Suite 211a
Boca Raton, FL 33486-1375

Mailing address

1050 NW 15TH St
Suite 211a
Boca Raton, FL 33486-1375
Phone (561) 391-5331

Other names 1

  • Reda A. Abdel-Fattah & Mervat M. Alattar Former legal business name

National Provider Directory

National Provider Directory

Locations

1050 NW 15th St
Ste 211A
Boca Raton, FL 33486
Phone (305) 391-5331

Practitioners & affiliated clinicians

Practitioners 2

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": "1438646400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1565049600000",
    "number": "1336525112",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1050 NW 15TH ST",
            "address_2": "SUITE 211A",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334861375",
            "telephone_number": "561-391-5331",
            "fax_number": "561-750-1502"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1050 NW 15TH ST",
            "address_2": "SUITE 211A",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334861375",
            "telephone_number": "561-391-5331",
            "fax_number": "561-750-1502"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REDA A. ABDEL-FATTAH & MERVAT M. ALATTAR",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-08-04",
        "last_updated": "2019-08-06",
        "status": "A",
        "authorized_official_last_name": "ABDEL-FATTAH",
        "authorized_official_first_name": "REDA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "561-391-5331",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223D0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Dental Public Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Reda A. Abdel-Fattah & Mervat M. Alattar",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Boca Raton, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2019; 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.