Organization Active NPI

Lakeview Dental, LLC

  • Dentist
  • Royal Palm Beach, FL
National Provider Identifier
1386006906
Registry record updated Sep 20, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
Legal business name
LAKEVIEW DENTAL, LLC
Practice address
1402 Royal Palm Beach Blvd Ste 500
Royal Palm Beach, FL 33411-1694
Phone
(561) 898-1010
NPI assigned
Mar 23, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 20, 2016

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

Authorized official

Name
Shayan Ghodsi
Title
Manager
Phone
(561) 898-1010

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X Primary

Addresses

Primary practice location

1402 Royal Palm Beach Blvd Ste 500
Royal Palm Beach, FL 33411-1694

Mailing address

1402 Royal Palm Beach Blvd. Ste 500
Royal Palm Beach, FL 33411
Phone (561) 898-1010

National Provider Directory

National Provider Directory

Locations

1402 Royal Palm Beach Blvd
Ste 500
Royal Palm Beach, FL 33411
Phone (561) 898-1010

NPI Registry JSON

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

{
    "created_epoch": "1458691200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1474329600000",
    "number": "1386006906",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1402 ROYAL PALM BEACH BLVD. STE 500",
            "city": "ROYAL PALM BEACH",
            "state": "FL",
            "postal_code": "33411",
            "telephone_number": "561-898-1010"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1402 ROYAL PALM BEACH BLVD STE 500",
            "city": "ROYAL PALM BEACH",
            "state": "FL",
            "postal_code": "334111694",
            "telephone_number": "561-898-1010"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAKEVIEW DENTAL, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-03-23",
        "last_updated": "2016-09-20",
        "status": "A",
        "authorized_official_last_name": "GHODSI",
        "authorized_official_first_name": "SHAYAN",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "561-898-1010"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Royal Palm Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2016; 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.