Individual provider Active NPI

Yaron Tavory, DMD

  • General Practice Dentistry
  • Boca Raton, FL
National Provider Identifier
1649362088
Registry record updated Sep 27, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DN16456 Issued in FL
Practice address
19635 State Road 7 Ste 51
Boca Raton, FL 33498-4771
Phone
(561) 483-9118
Fax
(561) 483-2328
NPI assigned
Sep 29, 2006
Last updated
Sep 27, 2012By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 27, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X DN16456 FL Primary

Addresses

Primary practice location

19635 State Road 7 Ste 51
Boca Raton, FL 33498-4771

Mailing address

19635 State Road 7 Ste 51
Boca Raton, FL 33498-4771
Phone (561) 483-9118

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
DN16456FLMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Shahriar Hoghooghi DMD, PA General Practice Past Accepting new patients

Networks

  • Freedom Health HMO Network

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1159488000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1348704000000",
    "number": "1649362088",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19635 STATE ROAD 7 STE 51",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334984771",
            "telephone_number": "561-483-9118",
            "fax_number": "561-483-2328"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19635 STATE ROAD 7 STE 51",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334984771",
            "telephone_number": "561-483-9118",
            "fax_number": "561-483-2328"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAVORY",
        "first_name": "YARON",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-29",
        "last_updated": "2012-09-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "FL",
            "license": "DN16456",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Sep 27, 2012; 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.