Individual provider Active NPI

Roberto Carlos Gonzalez Yumar, DMD

  • Periodontics
  • Boynton Beach, FL
National Provider Identifier
1386475770
Registry record updated Aug 8, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
PeriodonticsTaxonomy code 1223P0300X
License
DN26158 Issued in FL
Practice address
10075 S Jog Rd Ste 108
Boynton Beach, FL 33437-3532
Phone
(561) 738-9007
NPI assigned
Aug 8, 2024
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 8, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Periodontics 1223P0300X DN26158 FL Primary

Addresses

Primary practice location

10075 S Jog Rd Ste 108
Boynton Beach, FL 33437-3532

Mailing address

819 Fairview St
Lake Worth, FL 33461-5042
Phone (561) 667-7931

Other names 1

  • Dr. Roberto Carlos Gonzalez Yumar Professional name

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

State licenses

LicenseStateTypeSpecialty
DN26158FLMDPeriodontist

NPI Registry JSON

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

{
    "created_epoch": "1723075200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1723075200000",
    "number": "1386475770",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "819 FAIRVIEW ST",
            "city": "LAKE WORTH",
            "state": "FL",
            "postal_code": "334615042",
            "telephone_number": "561-667-7931"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10075 S JOG RD STE 108",
            "city": "BOYNTON BEACH",
            "state": "FL",
            "postal_code": "334373532",
            "telephone_number": "561-738-9007"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GONZALEZ YUMAR",
        "first_name": "ROBERTO",
        "middle_name": "CARLOS",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-08-08",
        "last_updated": "2024-08-08",
        "certification_date": "2024-08-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0300X",
            "taxonomy_group": "",
            "desc": "Dentist, Periodontics",
            "state": "FL",
            "license": "DN26158",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ROBERTO",
            "last_name": "GONZALEZ YUMAR",
            "middle_name": "CARLOS",
            "prefix": "DR.",
            "credential": "DMD",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Boynton Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2024; 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.