Michael A Citron, D.M.D.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DN 16304 Issued in FL

Practice address

771 Village Blvd Ste 203
West Palm Beach, FL 33409-1934

Phone

(561) 697-2220

Fax

(561) 697-2221

NPI assigned

Oct 7, 2008

Last updated

Oct 7, 2008By the provider in NPPES

Sex

Male

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

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Dr Michael a Citron DMD PA

  • Dentist
  • West Palm Beach, FL
  • NPI 1851309827
  NPD (past) Authorized official

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

{
    "created_epoch": "1223337600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1223337600000",
    "number": "1376794453",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "771 VILLAGE BLVD STE 203",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334091934",
            "telephone_number": "561-697-2220",
            "fax_number": "561-697-2221"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "771 VILLAGE BLVD STE 203",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334091934",
            "telephone_number": "561-697-2220",
            "fax_number": "561-697-2221"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CITRON",
        "first_name": "MICHAEL",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-10-07",
        "last_updated": "2008-10-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "FL",
            "license": "DN 16304",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Circle of Life Healing Inc
• Circle of Life Treatment Center
• Yusneri Cisnero Rodriguez
• Manuel Antonio Cisneros Sr., OWNER
• Citadel Chiropractic II, P.a.
• City of West Palm Beach (West Palm Beach Fire Rescue)
• Claudinise Civil, ARNP
• Jasmine Civil
• Kemila Civil
• CJ Homemaker Companion Services LLC

• General Practice Dentistry in West Palm Beach, FL
• Providers in West Palm Beach, 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 Oct 7, 2008; 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.