Organization Active NPI

Premiere Dental Care PL

  • Dentist
  • West Palm Beach, FL
National Provider Identifier
1639475833
Registry record updated May 19, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
DN12723 Issued in FL
Legal business name
PREMIERE DENTAL CARE PL
Practice address
600 South Dixie Highway
#105
West Palm Beach, FL 33401
Phone
(561) 820-8898
Fax
(561) 366-1788
NPI assigned
Feb 4, 2011
Organization subpart
Yes
Parent organization
PREMIERE DENTAL CARE PLAs reported in NPPES

NPPES NPI Registry

Updated by the provider on May 19, 2011

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

Authorized official

Name
Dr. Tin Wai Hui, DMD
Title
Owner
Phone
(561) 820-8898

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X DN12723 FL Primary

Addresses

Primary practice location

600 South Dixie Highway
#105
West Palm Beach, FL 33401

Mailing address

600 S Dixie Highway
Suite 105
West Palm Beach, FL 33401
Phone (561) 820-8898

Other identifiers 1

IdentifierTypeStateIssuer
071203500MedicaidFL

National Provider Directory

National Provider Directory
Part of
Premiere Dental Care PL

Locations

600 S Dixie Hwy
Ste 105
West Palm Beach, FL 33401
Phone (561) 820-8898

NPI Registry JSON

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

{
    "created_epoch": "1296777600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1305763200000",
    "number": "1639475833",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 S DIXIE HIGHWAY",
            "address_2": "SUITE 105",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "33401",
            "telephone_number": "561-820-8898",
            "fax_number": "561-366-1788"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 SOUTH DIXIE HIGHWAY",
            "address_2": "#105",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "33401",
            "telephone_number": "561-820-8898",
            "fax_number": "561-366-1788"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PREMIERE DENTAL CARE PL",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "PREMIERE DENTAL CARE PL",
        "enumeration_date": "2011-02-04",
        "last_updated": "2011-05-19",
        "status": "A",
        "authorized_official_last_name": "HUI",
        "authorized_official_first_name": "TIN",
        "authorized_official_middle_name": "WAI",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "561-820-8898",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "FL",
            "license": "DN12723",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "071203500",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in West Palm Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2011; 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.