Organization Active NPI

Dorri's Dental P.a.

  • Dentist
  • Boynton Beach, FL
National Provider Identifier
1336785609
Registry record updated Nov 20, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
Legal business name
DORRI'S DENTAL P.A.
Practice address
12658 S. Military Trail
Suite #104
Boynton Beach, FL 33436-5819
Phone
(561) 244-5001
Fax
(561) 770-7372
NPI assigned
Nov 21, 2019
Last updated
Nov 20, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 20, 2020

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

Authorized official

Name
Khalid Aldorri, DDSNPI 1396261277
Title
Owner/General Dentist
Phone
(561) 244-5001

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
Dentist 122300000X NU Primary

Addresses

Primary practice location

12658 S. Military Trail
Suite #104
Boynton Beach, FL 33436-5819

Mailing address

12658 S. Military Trail
Suite #104
Boynton Beach, FL 33436

National Provider Directory

National Provider Directory

Locations

12658 S Military Trl
Ste 104
Boynton Beach, FL 33436
Phone (561) 244-5001

Practitioners & affiliated clinicians

Practitioners 1

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": "1574294400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1605830400000",
    "number": "1336785609",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12658 S. MILITARY TRAIL",
            "address_2": "SUITE #104",
            "city": "BOYNTON BEACH",
            "state": "FL",
            "postal_code": "33436"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12658 S. MILITARY TRAIL",
            "address_2": "SUITE #104",
            "city": "BOYNTON BEACH",
            "state": "FL",
            "postal_code": "334365819",
            "telephone_number": "561-244-5001",
            "fax_number": "561-770-7372"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DORRI'S DENTAL P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-11-21",
        "last_updated": "2020-11-20",
        "certification_date": "2020-11-18",
        "status": "A",
        "authorized_official_last_name": "ALDORRI",
        "authorized_official_first_name": "KHALID",
        "authorized_official_title_or_position": "OWNER/GENERAL DENTIST",
        "authorized_official_telephone_number": "561-244-5001",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boynton Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 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.