Organization Active NPI

Yisrole Noskow DMD Palm City PA

  • Pediatric Dentistry
  • Palm City, FL
National Provider Identifier
1487320024
Registry record updated Aug 23, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
Legal business name
YISROLE NOSKOW DMD PALM CITY PA
Practice address
1151 SW 30TH St Ste C
Palm City, FL 34990-2985
Phone
(772) 409-6772
NPI assigned
Aug 23, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 23, 2021

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

Authorized official

Name
Dr. Yisroel Noskow, DMDNPI 1922549054
Title
Dr
Phone
(772) 409-6772

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
Pediatric DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223P0221X Primary

Addresses

Primary practice location

1151 SW 30TH St Ste C
Palm City, FL 34990-2985

Mailing address

990 SE 7TH Ave
Pompano Beach, FL 33060-9506

Other names 1

  • Izzy's Kidz Dentistry Doing business as

National Provider Directory

National Provider Directory

Locations

1151 SW 30th St
Ste C
Palm City, FL 34990
Phone (561) 694-3006

Practitioners & affiliated clinicians

Practitioners 1

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": "1629676800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1629676800000",
    "number": "1487320024",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "990 SE 7TH AVE",
            "city": "POMPANO BEACH",
            "state": "FL",
            "postal_code": "330609506"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1151 SW 30TH ST STE C",
            "city": "PALM CITY",
            "state": "FL",
            "postal_code": "349902985",
            "telephone_number": "772-409-6772"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "YISROLE NOSKOW DMD PALM CITY PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-08-23",
        "last_updated": "2021-08-23",
        "certification_date": "2021-08-23",
        "status": "A",
        "authorized_official_last_name": "NOSKOW",
        "authorized_official_first_name": "YISROEL",
        "authorized_official_title_or_position": "DR",
        "authorized_official_telephone_number": "772-409-6772",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Izzy's Kidz Dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Palm City, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 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.