Organization Active NPI

Dental Care of Boca Raton

  • Dentist
  • Boca Raton, FL
National Provider Identifier
1538530985
Registry record updated Oct 12, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
DN9646 Issued in FL
Legal business name
DENTAL CARE OF BOCA RATON
Practice address
9789 Glades Rd
Boca Raton, FL 33434-3916
Phone
(561) 487-4440
NPI assigned
Oct 12, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 12, 2015

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

Authorized official

Name
Juli Kagan
Title
Administrator
Phone
(561) 487-4440

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193200000X MULTI-SPECIALTY GROUP 122300000X DN9646 FL Primary
DentistGroup: 193200000X MULTI-SPECIALTY GROUP 122300000X DN19496 FL
DentistGroup: 193200000X MULTI-SPECIALTY GROUP 122300000X DN20158 FL

Addresses

Primary practice location

9789 Glades Rd
Boca Raton, FL 33434-3916

Mailing address

9789 Glades Rd
Boca Raton, FL 33434-3916
Phone (561) 487-4440

National Provider Directory

National Provider Directory

Locations

9789 Glades Rd
Boca Raton, FL 33434
Phone (561) 208-3081

Practitioners & affiliated clinicians

Practitioners 3

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": "1444608000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1444608000000",
    "number": "1538530985",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9789 GLADES RD",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334343916",
            "telephone_number": "561-487-4440"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9789 GLADES RD",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334343916",
            "telephone_number": "561-487-4440"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DENTAL CARE OF BOCA RATON",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-10-12",
        "last_updated": "2015-10-12",
        "status": "A",
        "authorized_official_last_name": "KAGAN",
        "authorized_official_first_name": "JULI",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "561-487-4440"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "FL",
            "license": "DN9646",
            "primary": true
        },
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "FL",
            "license": "DN19496",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "FL",
            "license": "DN20158",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boca Raton, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 2015; 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.