Terry G Max, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

8572 Issued in FL

Practice address

5455 N Federal Hwy
Suite D
Boca Raton, FL 33487-4994

Phone

(561) 997-6622

Fax

(561) 995-6984

NPI assigned

Dec 21, 2006

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1166659200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1366506602",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5455 N FEDERAL HWY",
            "address_2": "SUITE D",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334874994",
            "telephone_number": "561-997-6622",
            "fax_number": "561-995-6984"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5455 N FEDERAL HWY",
            "address_2": "SUITE D",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334874994",
            "telephone_number": "561-997-6622",
            "fax_number": "561-995-6984"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAX",
        "first_name": "TERRY",
        "middle_name": "G",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-12-21",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "FL",
            "license": "8572",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tamara Lee Maule, O.D.
• Maurasole Boca, LLC (Foot Solutions Boca Raton)
• Maureen T Connelly DPM PA
• Joesph Mark Mavica, DO
• Amy H Max, LCSW
• Bea Katrina Abaya Maximo
• Maxx Health, Inc
• Shira D May
• Stephanie R May, PSY.D.
• Delainey Maybeck, OTR/L

• General Practice Dentistry in Boca Raton, FL
• Providers in Boca Raton, FL by specialty
• General Practice Dentistry in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.