Children's Dental Place of East Boca,Inc

Primary specialty

DentistTaxonomy code 122300000X

License

DN13586 Issued in FL

Legal business name

CHILDREN'S DENTAL PLACE OF EAST BOCA,INC

Practice address

509 NE 20TH St
Boca Raton, FL 33431-8141

Phone

(954) 849-4143

NPI assigned

May 2, 2012

Last updated

May 2, 2012By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Joseph Herman

Title

Dentist

Phone

(954) 849-4143

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1335916800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1335916800000",
    "number": "1538427158",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "509 NE 20TH ST",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334318141",
            "telephone_number": "954-849-4143"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "509 NE 20TH ST",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334318141",
            "telephone_number": "954-849-4143"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHILDREN'S DENTAL PLACE OF EAST BOCA,INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-05-02",
        "last_updated": "2012-05-02",
        "status": "A",
        "authorized_official_last_name": "HERMAN",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "954-849-4143",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "FL",
            "license": "DN13586",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "075515000",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Basil S.H. Chie-for, M.D.
• Christopher Chie-for
• Child Development Specialists, LLC
• Justin T Childers
• Children's Dental Place of Boca Raton,Inc
• Children's Hematology & Oncology Associates (A divison of Kidz Medical Services, Inc)
• Children's Pediatric Dentistry of Boca Raton, Inc.
• Children's Surgical Specialists, PA
• Children's Theraplay LLC
• Childrens Dental Place of Boca Raton Inc

• Dentist in Boca Raton, FL
• Providers in Boca Raton, FL by specialty
• Dentist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2012; 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.