Individual provider Active NPI

Ahron Ben-Jacob

  • Dentist
  • Boca Raton, FL
National Provider Identifier
1346934270
Registry record updated Jun 5, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
DN28016 Issued in FL
Practice address
341 E Yamato Rd Ste a
Boca Raton, FL 33431-4915
Phone
(561) 962-0103
NPI assigned
Jun 5, 2023
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 5, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X DN28016 FL Primary

Addresses

Primary practice location

341 E Yamato Rd Ste a
Boca Raton, FL 33431-4915

Mailing address

81 Kearsing Pkwy Apt B
Monsey, NY 10952-7235
Phone (845) 270-0963

Other practice location 1

12453 Hagen Ranch Rd Unit 101
Boynton Beach, FL 33437-4123
Phone (561) 396-2993

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
DN28016FLMDDentist

Networks

  • Freedom Health HMO Network

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1685923200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1685923200000",
    "number": "1346934270",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "81 KEARSING PKWY APT B",
            "city": "MONSEY",
            "state": "NY",
            "postal_code": "109527235",
            "telephone_number": "845-270-0963"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "341 E YAMATO RD STE A",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334314915",
            "telephone_number": "561-962-0103"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "12453 Hagen Ranch Rd Unit 101",
            "address_purpose": "LOCATION",
            "city": "Boynton Beach",
            "state": "FL",
            "postal_code": "334374123",
            "country_code": "US",
            "telephone_number": "561-396-2993",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BEN-JACOB",
        "first_name": "AHRON",
        "name_prefix": "Dr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-06-05",
        "last_updated": "2023-06-05",
        "certification_date": "2023-05-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "FL",
            "license": "DN28016",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Jun 5, 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.