Active NPI
Thomas Patrick Floyd, D.M.D.
- Pediatric Dentistry
- West Palm Beach, FL
National Provider Identifier
1376679662
On this page
OIG exclusion record
The HHS Office of Inspector General’s List of Excluded Individuals/Entities (LEIE) contains a record with this NPI:
- Section 1128a(1) exclusion effective Nov 20, 2013.
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Dentistry
- License
- DN8006
- Practice address
- 400 Executive Center Dr
Suite 105
West Palm Beach, FL 33401-2917 - Phone
- (561) 684-3331
- Fax
- (561) 684-3479
- NPI assigned
- Feb 23, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Dentistry | 1223P0221X | DN8006 | FL | Primary |
Addresses
Primary practice location
400 Executive Center Dr
Suite 105
West Palm Beach, FL 33401-2917
Mailing address
400 Executive Center Dr
Suite 105
West Palm Beach, FL 33401-2917
Phone (561) 684-3331
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 074853600 | Medicaid | FL |
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
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DN8006 | FL | MD | Pediatric Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1172188800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1376679662",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "400 EXECUTIVE CENTER DR",
"address_2": "SUITE 105",
"city": "WEST PALM BEACH",
"state": "FL",
"postal_code": "334012917",
"telephone_number": "561-684-3331",
"fax_number": "561-684-3479"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "400 EXECUTIVE CENTER DR",
"address_2": "SUITE 105",
"city": "WEST PALM BEACH",
"state": "FL",
"postal_code": "334012917",
"telephone_number": "561-684-3331",
"fax_number": "561-684-3479"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FLOYD",
"first_name": "THOMAS",
"middle_name": "PATRICK",
"name_prefix": "Dr.",
"credential": "D.M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-02-23",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1223P0221X",
"taxonomy_group": "",
"desc": "Dentist, Pediatric Dentistry",
"state": "FL",
"license": "DN8006",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "074853600",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in West Palm Beach, FL
Sources for this page
- 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; OIG LEIE.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.