Individual provider Active NPI

Ricardo Jose Amaya

  • Dentist
  • Royal Palm Beach, FL
National Provider Identifier
1417527375
Registry record updated Mar 31, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
DN31166 Issued in FL
Practice address
10080 Okeechobee Blvd Ste 100
Royal Palm Beach, FL 33411-1482
Phone
(561) 956-4553
NPI assigned
Jul 1, 2021
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 31, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X DENT.DE.61511028 WA
Dentist 122300000X DN31166 FL Primary

Addresses

Primary practice location

10080 Okeechobee Blvd Ste 100
Royal Palm Beach, FL 33411-1482

Mailing address

10080 Okeechobee Blvd Ste 100
Royal Palm Beach, FL 33411-1482
Phone (561) 956-4553

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
DN31166FLMDDentist
DENT.DE.61511028WAMDDentist

NPI Registry JSON

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

{
    "created_epoch": "1625097600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1774915200000",
    "number": "1417527375",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10080 OKEECHOBEE BLVD STE 100",
            "city": "ROYAL PALM BEACH",
            "state": "FL",
            "postal_code": "334111482",
            "telephone_number": "561-956-4553"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10080 OKEECHOBEE BLVD STE 100",
            "city": "ROYAL PALM BEACH",
            "state": "FL",
            "postal_code": "334111482",
            "telephone_number": "561-956-4553"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AMAYA",
        "first_name": "RICARDO",
        "middle_name": "JOSE",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-07-01",
        "last_updated": "2026-03-31",
        "certification_date": "2026-03-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "WA",
            "license": "DENT.DE.61511028",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "FL",
            "license": "DN31166",
            "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 Mar 31, 2026; 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.