NPIMap

Organization Active NPI

Idental of Coconut Creek, PLLC

  • General Practice Dentistry
  • Coconut Creek, FL
National Provider Identifier
1467990986
Registry record updated Sep 3, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DN16932 Issued in FL
Legal business name
IDENTAL OF COCONUT CREEK, PLLC
Practice address
1507 Lyons Rd
Coconut Creek, FL 33063-3934
Phone
(954) 974-4101
NPI assigned
Feb 3, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 3, 2020

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

Authorized official

Name
Michael Floyd Battle, DDS
Title
Dentist/ Owner
Phone
(727) 327-5561

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223G0001X DN16932 FL Primary

Addresses

Primary practice location

1507 Lyons Rd
Coconut Creek, FL 33063-3934

Mailing address

1507 Lyons Rd
Coconut Creek, FL 33063-3934
Phone (954) 974-4101

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1486080000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1599091200000",
    "number": "1467990986",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1507 LYONS RD",
            "city": "COCONUT CREEK",
            "state": "FL",
            "postal_code": "330633934",
            "telephone_number": "954-974-4101"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1507 LYONS RD",
            "city": "COCONUT CREEK",
            "state": "FL",
            "postal_code": "330633934",
            "telephone_number": "954-974-4101"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IDENTAL OF COCONUT CREEK, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-02-03",
        "last_updated": "2020-09-03",
        "certification_date": "2020-09-03",
        "status": "A",
        "authorized_official_last_name": "BATTLE",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "FLOYD",
        "authorized_official_title_or_position": "DENTIST/ OWNER",
        "authorized_official_telephone_number": "727-327-5561",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "FL",
            "license": "DN16932",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Coconut Creek, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 2020; 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.