Individual provider Active NPI

Youness Amri, DMD

  • General Practice Dentistry
  • Royal Palm Beach, FL
National Provider Identifier
1639780497
Registry record updated Jul 22, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DN27294 Issued in FL
Practice address
1112 Royal Palm Beach Blvd
Royal Palm Beach, FL 33411-1607
Phone
(561) 795-1404
NPI assigned
Aug 13, 2020
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 22, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
General Practice Dentistry 1223G0001X DN27294 FL Primary

Addresses

Primary practice location

1112 Royal Palm Beach Blvd
Royal Palm Beach, FL 33411-1607

Mailing address

890 Quaye Lake Cir Apt 112
Wellington, FL 33411-5042
Phone (561) 480-8758

Other practice location 1

10301 Hagen Ranch Rd
Boynton Beach, FL 33437-3724
Phone (561) 556-4082

Other practice location 2

9810 Alternate A1A Ste 106
Palm Beach Gardens, FL 33410-4932
Phone (561) 258-9231

Other practice location 3

2596 Forest Hill Blvd
West Palm Beach, FL 33406-5929
Phone (561) 258-9228

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

LicenseStateTypeSpecialty
DN27294FLMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Ka Dental Group BB, PA CurrentSince Jul 10, 2022 Accepting new patients

Locations

1112 Royal Palm Beach Blvd
Royal Palm Beach, FL 33411
Phone (561) 258-9215

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1597276800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658448000000",
    "number": "1639780497",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "890 QUAYE LAKE CIR APT 112",
            "city": "WELLINGTON",
            "state": "FL",
            "postal_code": "334115042",
            "telephone_number": "561-480-8758"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1112 ROYAL PALM BEACH BLVD",
            "city": "ROYAL PALM BEACH",
            "state": "FL",
            "postal_code": "334111607",
            "telephone_number": "561-795-1404"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10301 Hagen Ranch Rd",
            "address_purpose": "LOCATION",
            "city": "Boynton Beach",
            "state": "FL",
            "postal_code": "334373724",
            "country_code": "US",
            "telephone_number": "561-556-4082",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "9810 Alternate A1A Ste 106",
            "address_purpose": "LOCATION",
            "city": "Palm Beach Gardens",
            "state": "FL",
            "postal_code": "334104932",
            "country_code": "US",
            "telephone_number": "561-258-9231",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2596 Forest Hill Blvd",
            "address_purpose": "LOCATION",
            "city": "West Palm Beach",
            "state": "FL",
            "postal_code": "334065929",
            "country_code": "US",
            "telephone_number": "561-258-9228",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "AMRI",
        "first_name": "YOUNESS",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-08-13",
        "last_updated": "2022-07-22",
        "certification_date": "2022-07-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "FL",
            "license": "DN27294",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Royal Palm Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 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.