NPIMap

Organization Active NPI

Carly S. Polin

  • Dentist
  • Boca Raton, FL
National Provider Identifier
1457699589
Registry record updated Jan 24, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
19432 Issued in FL
Legal business name
CARLY S. POLIN
Practice address
2600 N Military TRL
Suite 320
Boca Raton, FL 33431-6312
Phone
(561) 997-2323
NPI assigned
Jan 24, 2013
Last updated
Jan 24, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 24, 2013

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

Authorized official

Name
Dr. Carly Sara Polin, DMDNPI 1689923542
Title
Dentist
Phone
(561) 997-2323

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
Dentist 122300000X 19432 FL Primary

Addresses

Primary practice location

2600 N Military TRL
Suite 320
Boca Raton, FL 33431-6312

Mailing address

2600 N Military TRL
Suite 320
Boca Raton, FL 33431-6312
Phone (561) 997-2323

National Provider Directory

National Provider Directory

Locations

2600 N Military Trl
Ste 320
Boca Raton, FL 33431
Phone (305) 391-2224

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1358985600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1358985600000",
    "number": "1457699589",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2600 N MILITARY TRL",
            "address_2": "SUITE 320",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334316312",
            "telephone_number": "561-997-2323"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2600 N MILITARY TRL",
            "address_2": "SUITE 320",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334316312",
            "telephone_number": "561-997-2323"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARLY S. POLIN",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-01-24",
        "last_updated": "2013-01-24",
        "status": "A",
        "authorized_official_last_name": "POLIN",
        "authorized_official_first_name": "CARLY",
        "authorized_official_middle_name": "SARA",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "561-997-2323",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "FL",
            "license": "19432",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boca Raton, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2013; 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.