Active NPI
Amanda M Faigen, DDS
- Dentist
- Palm Beach Gardens, FL
National Provider Identifier
1609930734
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- FL0N11253
- Practice address
- 12300 Alt A1A
Ste 115 Amandan Faigen DDS
Palm Beach Gardens, FL 33408 - Phone
- (561) 626-1899
- Fax
- (561) 227-0250
- NPI assigned
- Dec 21, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | FL0N11253 | FL | Primary |
Addresses
Primary practice location
12300 Alt A1A
Ste 115 Amandan Faigen DDS
Palm Beach Gardens, FL 33408
Mailing address
12300 Alt A1A
Ste 115 Amandan Faigen DDS
Palm Beach Gardens, FL 33408
Phone (561) 626-1899
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| FL0N11253 | FL | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1166659200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1609930734",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12300 ALT A1A",
"address_2": "STE 115 AMANDAN FAIGEN DDS",
"city": "PALM BEACH GARDENS",
"state": "FL",
"postal_code": "33408",
"telephone_number": "561-626-1899",
"fax_number": "561-227-0250"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12300 ALT A1A",
"address_2": "STE 115 AMANDAN FAIGEN DDS",
"city": "PALM BEACH GARDENS",
"state": "FL",
"postal_code": "33408",
"telephone_number": "561-626-1899",
"fax_number": "561-227-0250"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FAIGEN",
"first_name": "AMANDA",
"middle_name": "M",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-12-21",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "FL",
"license": "FL0N11253",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Palm Beach Gardens, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.