Organization Active NPI

Ucros Group Inc

Doing business as Fresh Boca Dental

  • Dental Clinic/Center
  • Boca Raton, FL
National Provider Identifier
1619352069
Registry record updated Jul 28, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
License
DN19260 Issued in FL
Legal business name
UCROS GROUP INC
Doing business as
Fresh Boca Dental
Practice address
9840 Sandalfoot Blvd
Boca Raton, FL 33428-6645
Phone
(561) 910-1862
NPI assigned
Jul 28, 2015
Last updated
Jul 28, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 28, 2015

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

Authorized official

Name
Dr. German Andres Ucros, D.M.D.
Title
Owner
Phone
(787) 242-4148

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X DN19260 FL Primary

Addresses

Primary practice location

9840 Sandalfoot Blvd
Boca Raton, FL 33428-6645

Mailing address

9840 Sandalfoot Blvd
Boca Raton, FL 33428-6645
Phone (561) 910-1862

Other names 1

  • Fresh Boca Dental Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1438041600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1438041600000",
    "number": "1619352069",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9840 SANDALFOOT BLVD",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334286645",
            "telephone_number": "561-910-1862"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9840 SANDALFOOT BLVD",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334286645",
            "telephone_number": "561-910-1862"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UCROS GROUP INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-07-28",
        "last_updated": "2015-07-28",
        "status": "A",
        "authorized_official_last_name": "UCROS",
        "authorized_official_first_name": "GERMAN",
        "authorized_official_middle_name": "ANDRES",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "787-242-4148",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.M.D."
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "FL",
            "license": "DN19260",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Fresh Boca Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Jul 28, 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.