NPIMap

Organization Active NPI

Palm Beach Prosthodontics, LLC

  • Prosthodontics
  • West Palm Beach, FL
National Provider Identifier
1477793933
Registry record updated Feb 24, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
ProsthodonticsTaxonomy code 1223P0700X
Legal business name
PALM BEACH PROSTHODONTICS, LLC
Practice address
1401 Forum Way
Suite 800
West Palm Beach, FL 33401
Phone
(561) 682-0999
Fax
(561) 383-0899
NPI assigned
Feb 24, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 24, 2009

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

Authorized official

Name
Dr. Miguel J. Santamarina, DMDNPI 1356682082
Title
Vice - President
Phone
(561) 682-0999

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223G0001X FL
ProsthodonticsGroup: 193200000X MULTI-SPECIALTY GROUP 1223P0700X FL Primary

Addresses

Primary practice location

1401 Forum Way
Suite 800
West Palm Beach, FL 33401

Mailing address

1401 Forum Way
Suite 800
West Palm Beach, FL 33401
Phone (561) 682-0999

National Provider Directory

National Provider Directory

Locations

1401 Forum Way
Ste 800
West Palm Beach, FL 33401
Phone (561) 327-6664

Practitioners & affiliated clinicians

Practitioners 6

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": "1235433600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1235433600000",
    "number": "1477793933",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1401 FORUM WAY",
            "address_2": "SUITE 800",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "33401",
            "telephone_number": "561-682-0999",
            "fax_number": "561-383-0899"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1401 FORUM WAY",
            "address_2": "SUITE 800",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "33401",
            "telephone_number": "561-682-0999",
            "fax_number": "561-383-0899"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PALM BEACH PROSTHODONTICS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-02-24",
        "last_updated": "2009-02-24",
        "status": "A",
        "authorized_official_last_name": "SANTAMARINA",
        "authorized_official_first_name": "MIGUEL",
        "authorized_official_middle_name": "J.",
        "authorized_official_title_or_position": "VICE - PRESIDENT",
        "authorized_official_telephone_number": "561-682-0999",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "FL",
            "license": null,
            "primary": false
        },
        {
            "code": "1223P0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Prosthodontics",
            "state": "FL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Feb 24, 2009; 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.