Beach Dental Group, Inc

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DN15016 Issued in FL

Legal business name

BEACH DENTAL GROUP, INC

Practice address

2100 Lake Ida Rd
A2
Delray Beach, FL 33445-2442

Phone

(561) 272-2131

Fax

(561) 272-8141

NPI assigned

Sep 12, 2013

Organization subpart

No

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

Authorized official

Name

Dr. Frederick A Fox, DDS

Title

Dentist

Phone

(561) 272-2131

Specialties & licenses 1

Addresses

Tax ID family

Beach Dental Group Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Beach Dental Group Inc

  • Dentist
  • Ormond Beach, FL
  • NPI 1740560739
  NPD tax ID

Locations

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

{
    "created_epoch": "1378944000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1378944000000",
    "number": "1487089140",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2100 LAKE IDA RD",
            "address_2": "A2",
            "city": "DELRAY BEACH",
            "state": "FL",
            "postal_code": "334452442",
            "telephone_number": "561-272-2131",
            "fax_number": "561-272-8141"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2100 LAKE IDA RD",
            "address_2": "A2",
            "city": "DELRAY BEACH",
            "state": "FL",
            "postal_code": "334452442",
            "telephone_number": "561-272-2131",
            "fax_number": "561-272-8141"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BEACH DENTAL GROUP, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-09-12",
        "last_updated": "2013-09-12",
        "status": "A",
        "authorized_official_last_name": "FOX",
        "authorized_official_first_name": "FREDERICK",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "561-272-2131",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "FL",
            "license": "DN15016",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Patrick D Baxter, PA
• Yolette Bazelais, PA-C
• BB & B Medical Associates LLC
• BB Labs
• BDMJ Holdings
• Beach Optical One Hour Eyewear
• Beachcomber Rehabilitation, Inc
• Beachcomber Rehabilitation, Inc
• Beachcomber Rehabilitation, Inc.
• Beachway Therapy Treatment Center LLC

• General Practice Dentistry in Delray Beach, FL
• Providers in Delray Beach, FL by specialty
• General Practice Dentistry in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 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.