Organization Active NPI

Beacon Square Family Dentistry PA

  • Dentist
  • Boca Raton, FL
National Provider Identifier
1619360583
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
DN15490 Issued in FL
Legal business name
BEACON SQUARE FAMILY DENTISTRY PA
Practice address
7805 NW Beacon Square Blvd Ste 101
Boca Raton, FL 33487-1396
Phone
(561) 998-0901
Fax
(561) 998-0903
NPI assigned
Mar 16, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Dr. Dari Shapiro, DDS
Title
President
Phone
(561) 254-2868

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X DN15490 FL Primary
DentistGroup: 193200000X MULTI-SPECIALTY GROUP 122300000X 15490 FL

Addresses

Primary practice location

7805 NW Beacon Square Blvd Ste 101
Boca Raton, FL 33487-1396

Mailing address

7805 NW Beacon Square Blvd Ste 101
Boca Raton, FL 33487-1396
Phone (561) 998-0901

Other names 1

  • Shapiro Family Dentistry Doing business as

National Provider Directory

National Provider Directory

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": "1426464000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1619360583",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7805 NW BEACON SQUARE BLVD STE 101",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334871396",
            "telephone_number": "561-998-0901",
            "fax_number": "561-998-0903"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7805 NW BEACON SQUARE BLVD STE 101",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334871396",
            "telephone_number": "561-998-0901",
            "fax_number": "561-998-0903"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BEACON SQUARE FAMILY DENTISTRY PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-03-16",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "SHAPIRO",
        "authorized_official_first_name": "DARI",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "561-254-2868",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "FL",
            "license": "DN15490",
            "primary": true
        },
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "FL",
            "license": "15490",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Shapiro Family Dentistry",
            "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 21, 2022; 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.