NPIMap

Organization Active NPI

Pike Pediatric Dentistry PA

  • Pediatric Dentistry
  • Boca Raton, FL
National Provider Identifier
1366715716
Registry record updated Feb 15, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
License
DN17596 Issued in FL
Legal business name
PIKE PEDIATRIC DENTISTRY PA
Practice address
1865 NW Boca Raton Blvd
Ste 102
Boca Raton, FL 33432-1638
Phone
(561) 347-7006
NPI assigned
Feb 15, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 15, 2012

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

Authorized official

Name
Dr. Talia Pike, DMDNPI 1780972380
Title
Pediatric Dentist
Phone
(954) 856-9955

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
Pediatric DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223P0221X DN17596 FL Primary

Addresses

Primary practice location

1865 NW Boca Raton Blvd
Ste 102
Boca Raton, FL 33432-1638

Mailing address

1865 NW Boca Raton Blvd
Ste 102
Boca Raton, FL 33432-1638
Phone (561) 347-7006

National Provider Directory

National Provider Directory

Locations

1865 NW 2nd Ave
Ste 102
Boca Raton, FL 33432
Phone (561) 347-7006

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": "1329264000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1329264000000",
    "number": "1366715716",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1865 NW BOCA RATON BLVD",
            "address_2": "STE 102",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334321638",
            "telephone_number": "561-347-7006"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1865 NW BOCA RATON BLVD",
            "address_2": "STE 102",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334321638",
            "telephone_number": "561-347-7006"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PIKE PEDIATRIC DENTISTRY PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-02-15",
        "last_updated": "2012-02-15",
        "status": "A",
        "authorized_official_last_name": "PIKE",
        "authorized_official_first_name": "TALIA",
        "authorized_official_title_or_position": "PEDIATRIC DENTIST",
        "authorized_official_telephone_number": "954-856-9955",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "FL",
            "license": "DN17596",
            "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 Feb 15, 2012; 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.