Active NPI
Florida Dental Sleep Disorders, P.a.
- Dentist
- Boca Raton, FL
National Provider Identifier
1619707577
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- Legal business name
- FLORIDA DENTAL SLEEP DISORDERS, P.A.
- Practice address
- 7100 Camino Real Ste 110
Boca Raton, FL 33433-5510 - Phone
- (561) 400-7816
- NPI assigned
- Aug 6, 2024
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Yitta Garden
- Title
- Owner
- Phone
- (561) 400-7816
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | Primary |
Addresses
Primary practice location
7100 Camino Real Ste 110
Boca Raton, FL 33433-5510
Mailing address
21861 Cypress Palm CT
Boca Raton, FL 33428-2938
Phone (561) 400-7816
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20250505001790 | FL | DME Supplier - Oral Surgery - Dentist | 0749721876 |
1 other NPI on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Boca Raton, FL |
Other NPIs on the same Medicare enrollment 1
NPIs listed together on one Medicare enrollment, typically parts of the same organization.
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1722902400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1722988800000",
"number": "1619707577",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "21861 CYPRESS PALM CT",
"city": "BOCA RATON",
"state": "FL",
"postal_code": "334282938",
"telephone_number": "561-400-7816"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7100 CAMINO REAL STE 110",
"city": "BOCA RATON",
"state": "FL",
"postal_code": "334335510",
"telephone_number": "561-400-7816"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "FLORIDA DENTAL SLEEP DISORDERS, P.A.",
"organizational_subpart": "NO",
"enumeration_date": "2024-08-06",
"last_updated": "2024-08-07",
"certification_date": "2024-08-07",
"status": "A",
"authorized_official_last_name": "GARDEN",
"authorized_official_first_name": "YITTA",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "561-400-7816"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Dentist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Boca Raton, FL
- Florida Best Home Care LLC
- Florida Cancer Specialists & Research Institute, LLC
- Florida Center for Neurology Parkinsons Disease and Movement Disorder
- Florida Concieerge Homecare Inc.
- Florida Dental Sleep Disorders, P.a.
- Florida ENT Associates, Inc.
- Florida ENT Associates, Inc.
- Florida Foot & Ankle Associates, LLC
- Florida Health Care Counselors LLC
- Florida Home Health Care LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.