NPIMap

Organization Active NPI

Periodontics of the Palm Beaches, P.a.

  • Periodontics
  • West Palm Beach, FL
National Provider Identifier
1467583229
Registry record updated Jan 29, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
PeriodonticsTaxonomy code 1223P0300X
License
5191 Issued in FL
Legal business name
PERIODONTICS OF THE PALM BEACHES, P.A.
Practice address
1897 Palm Beach Lakes Blvd
Suite 215
West Palm Beach, FL 33409-3507
Phone
(561) 686-2477
Fax
(561) 686-2699
NPI assigned
Mar 7, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 29, 2013

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

Authorized official

Name
Dr. Stuart A. Feldman, D.D.S.NPI 1508262221
Title
Owner-Periodontist
Phone
(561) 686-2477

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: 193400000X SINGLE SPECIALTY GROUP 1223P0300X 5191 FL Primary

Addresses

Primary practice location

1897 Palm Beach Lakes Blvd
Suite 215
West Palm Beach, FL 33409-3507

Mailing address

1897 Palm Beach Lakes Blvd
Suite 215
West Palm Beach, FL 33409-3507
Phone (561) 686-2477

Other names 1

  • Feldman and Lazzara, P.A. Former legal business name

National Provider Directory

National Provider Directory

Locations

1897 Palm Beach Lakes Blvd
Ste 215
West Palm Beach, FL 33409
Phone (561) 255-8377

Practitioners & affiliated clinicians

Practitioners 2

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": "1173225600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1359417600000",
    "number": "1467583229",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1897 PALM BEACH LAKES BLVD",
            "address_2": "SUITE 215",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334093507",
            "telephone_number": "561-686-2477",
            "fax_number": "561-686-2699"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1897 PALM BEACH LAKES BLVD",
            "address_2": "SUITE 215",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334093507",
            "telephone_number": "561-686-2477",
            "fax_number": "561-686-2699"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PERIODONTICS OF THE PALM BEACHES, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-07",
        "last_updated": "2013-01-29",
        "status": "A",
        "authorized_official_last_name": "FELDMAN",
        "authorized_official_first_name": "STUART",
        "authorized_official_middle_name": "A.",
        "authorized_official_title_or_position": "OWNER-PERIODONTIST",
        "authorized_official_telephone_number": "561-686-2477",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223P0300X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Periodontics",
            "state": "FL",
            "license": "5191",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Feldman and Lazzara, P.A.",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in West Palm Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 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.