Organization Active NPI

Philipkjosephsllc

  • Periodontics
  • Boynton Beach, FL
National Provider Identifier
1396344354
Registry record updated Oct 21, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
PeriodonticsTaxonomy code 1223P0300X
Legal business name
PHILIPKJOSEPHSLLC
Practice address
161 Monterey Bay Dr
Boynton Beach, FL 33426-8438
Phone
(561) 414-9145
NPI assigned
Oct 21, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 21, 2020

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

Authorized official

Name
Philip JosephsNPI 1649585480
Title
Dentist
Phone
(561) 414-9145

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
PeriodonticsGroup: 193200000X MULTI-SPECIALTY GROUP 1223P0300X Primary

Addresses

Primary practice location

161 Monterey Bay Dr
Boynton Beach, FL 33426-8438

Mailing address

161 Monterey Bay Dr
Boynton Beach, FL 33426-8438
Phone (561) 414-9145

National Provider Directory

National Provider Directory

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": "1603238400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1603238400000",
    "number": "1396344354",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "161 MONTEREY BAY DR",
            "city": "BOYNTON BEACH",
            "state": "FL",
            "postal_code": "334268438",
            "telephone_number": "561-414-9145"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "161 MONTEREY BAY DR",
            "city": "BOYNTON BEACH",
            "state": "FL",
            "postal_code": "334268438",
            "telephone_number": "561-414-9145"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHILIPKJOSEPHSLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-10-21",
        "last_updated": "2020-10-21",
        "certification_date": "2020-10-21",
        "status": "A",
        "authorized_official_last_name": "JOSEPHS",
        "authorized_official_first_name": "PHILIP",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "561-414-9145"
    },
    "taxonomies": [
        {
            "code": "1223P0300X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Periodontics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Oct 21, 2020; 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.