Individual provider Active NPI

Jaime Elkind Liou, DMD

  • General Practice Dentistry
  • Boca Raton, FL
National Provider Identifier
1437567146
Registry record updated Jun 20, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
20219 Issued in FL
Practice address
181 Crawford Blvd FL 1
Boca Raton, FL 33432-3743
Phone
(561) 430-3629
NPI assigned
Jul 25, 2014
Last updated
Jun 20, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 20, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 20219 FL Primary

Addresses

Primary practice location

181 Crawford Blvd FL 1
Boca Raton, FL 33432-3743

Mailing address

639 E Ocean Ave Ste 409
Boynton Beach, FL 33435-5017
Phone (561) 735-6553

Other practice location 1

30 SE 6th St
Boca Raton, FL 33432
Phone (561) 430-3629

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180514002527 FL Order and Referring Only - DentistPractitioner - Dentist 9931405024

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
20219FLMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Genesis Community Health, Inc. CurrentSince Nov 10, 2024 Accepting new patients

Locations

181 Crawford Blvd
Boca Raton, FL 33432
Phone (561) 368-0770

181 Crawford Blvd
Fl 1
Boca Raton, FL 33432
Phone (561) 235-5477

639 E Ocean Ave
Ste 409
Ocean Ridge, FL 33435
Phone (561) 806-6835

Networks

  • Freedom Health HMO Network

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1406246400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718841600000",
    "number": "1437567146",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "639 E OCEAN AVE STE 409",
            "city": "BOYNTON BEACH",
            "state": "FL",
            "postal_code": "334355017",
            "telephone_number": "561-735-6553",
            "fax_number": "561-735-7739"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "181 CRAWFORD BLVD FL 1",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334323743",
            "telephone_number": "561-430-3629"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "30 SE 6th St",
            "address_purpose": "LOCATION",
            "city": "Boca Raton",
            "state": "FL",
            "postal_code": "33432",
            "country_code": "US",
            "telephone_number": "561-430-3629",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ELKIND LIOU",
        "first_name": "JAIME",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-07-25",
        "last_updated": "2024-06-20",
        "certification_date": "2024-06-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "FL",
            "license": "20219",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boca Raton, FL

Sources for this page

Verify at the official NPI Registry.