Functional Facial Orthopedics

Primary specialty

Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X

Legal business name

FUNCTIONAL FACIAL ORTHOPEDICS

Practice address

13421 S Shore Blvd
Suite 203
Wellington, FL 33414-7210

Phone

(561) 215-1603

Fax

(561) 537-5738

NPI assigned

Jun 24, 2016

Organization subpart

No

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

Authorized official

Name

Dr. Nilsa H Toledo, D.M.D.

Title

President/Owner

Phone

(561) 215-1603

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

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

{
    "created_epoch": "1466726400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1466726400000",
    "number": "1407207194",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13421 S SHORE BLVD",
            "address_2": "SUITE 203",
            "city": "WELLINGTON",
            "state": "FL",
            "postal_code": "334147210",
            "telephone_number": "561-215-1603",
            "fax_number": "561-537-5738"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13421 S SHORE BLVD",
            "address_2": "SUITE 203",
            "city": "WELLINGTON",
            "state": "FL",
            "postal_code": "334147210",
            "telephone_number": "561-215-1603",
            "fax_number": "561-537-5738"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FUNCTIONAL FACIAL ORTHOPEDICS",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-06-24",
        "last_updated": "2016-06-24",
        "status": "A",
        "authorized_official_last_name": "TOLEDO",
        "authorized_official_first_name": "NILSA",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "PRESIDENT/OWNER",
        "authorized_official_telephone_number": "561-215-1603",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.M.D."
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL LICENSE NUMBER",
            "identifier": "D17401",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "075862100",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Molly Friedman
• Dr. Duane Frisby, PHD
• Dara A Frustaci, LCSW
• Jami Lynn Fuccile
• Claudia Fuentes, FNP
• Flor Furman, MD
• FWC Perinatal, LLC
• FWC Perinatal, LLC
• FWC Urogynecology, LLC
• FWC Urogynecoology, LLC

• Oral and Maxillofacial Surgery (Dentist) in Wellington, FL
• Providers in Wellington, FL by specialty
• Oral and Maxillofacial Surgery (Dentist) in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 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.