NPIMap

Organization Active NPI

David Green DDS PA

  • General Practice Dentistry
  • Boynton Beach, FL
National Provider Identifier
1477988525
Registry record updated Aug 2, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
15023 Issued in FL
Legal business name
DAVID GREEN DDS PA
Practice address
11135 S Jog Rd
Suite 3
Boynton Beach, FL 33437-1807
Phone
(561) 733-3361
Fax
(561) 733-8865
NPI assigned
Sep 9, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 2, 2016

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

Authorized official

Name
Lynda Cauwels
Title
Adm. Assist
Phone
(561) 733-3361

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223G0001X 15023 FL Primary

Addresses

Primary practice location

11135 S Jog Rd
Suite 3
Boynton Beach, FL 33437-1807

Mailing address

11135 S Jog Rd
Suite 3
Boynton Beach, FL 33437-1807
Phone (561) 733-3361

Other identifiers 1

IdentifierTypeStateIssuer
1902991870OtherFLPPO'S

Other names 1

  • Premier Dental Care Other name

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 6

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": "1378684800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1470096000000",
    "number": "1477988525",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11135 S JOG RD",
            "address_2": "SUITE 3",
            "city": "BOYNTON BEACH",
            "state": "FL",
            "postal_code": "334371807",
            "telephone_number": "561-733-3361",
            "fax_number": "561-733-8865"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11135 S JOG RD",
            "address_2": "SUITE 3",
            "city": "BOYNTON BEACH",
            "state": "FL",
            "postal_code": "334371807",
            "telephone_number": "561-733-3361",
            "fax_number": "561-733-8865"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAVID GREEN DDS PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-09-09",
        "last_updated": "2016-08-02",
        "status": "A",
        "authorized_official_last_name": "CAUWELS",
        "authorized_official_first_name": "LYNDA",
        "authorized_official_title_or_position": "ADM. ASSIST",
        "authorized_official_telephone_number": "561-733-3361"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "FL",
            "license": "15023",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PPO'S",
            "identifier": "1902991870",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Premier Dental Care",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Boynton Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 2016; 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.