NPIMap

Organization Active NPI

Kapoor and Ravi DMD LLC

  • Dental Clinic/Center
  • Wellington, FL
National Provider Identifier
1487214607
Registry record updated Jan 7, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
KAPOOR AND RAVI DMD LLC
Practice address
12300 S Shore Blvd Ste 208
Wellington, FL 33414-6509
Phone
(561) 204-4494
NPI assigned
Jun 19, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 7, 2021

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

Authorized official

Name
Kshitij KapoorNPI 1215240478
Title
Owner
Phone
(561) 204-4494

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
Dental Clinic/Center 261QD0000X Primary

Addresses

Primary practice location

12300 S Shore Blvd Ste 208
Wellington, FL 33414-6509

Mailing address

12300 S Shore Blvd Ste 208
Wellington, FL 33414-6509
Phone (561) 204-4494

Other names 2

  • Integrity Dental Doing business as
  • Perfect Smile Dentistry Doing business as

National Provider Directory

National Provider Directory

Locations

12300 South Shore Blvd
Ste 208
Wellington, FL 33414
Phone (561) 204-4494

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": "1560902400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1609977600000",
    "number": "1487214607",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12300 S SHORE BLVD STE 208",
            "city": "WELLINGTON",
            "state": "FL",
            "postal_code": "334146509",
            "telephone_number": "561-204-4494"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12300 S SHORE BLVD STE 208",
            "city": "WELLINGTON",
            "state": "FL",
            "postal_code": "334146509",
            "telephone_number": "561-204-4494"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KAPOOR AND RAVI DMD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-06-19",
        "last_updated": "2021-01-07",
        "certification_date": "2021-01-07",
        "status": "A",
        "authorized_official_last_name": "KAPOOR",
        "authorized_official_first_name": "KSHITIJ",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "561-204-4494"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Integrity Dental",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Perfect Smile Dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Wellington, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2021; 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.