Active NPI
Smile Perfection Dental of Boynton Beach
- Dentist
- Boynton Beach, FL
National Provider Identifier
1649802612
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- Legal business name
- SMILE PERFECTION DENTAL OF BOYNTON BEACH
- Practice address
- 10075 S Jog Rd Ste 102
Boynton Beach, FL 33437-3532 - Phone
- (561) 244-7022
- Fax
- (561) 244-7027
- NPI assigned
- Feb 7, 2020
- Last updated
- Feb 12, 2020
- 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
- Ricardo Chang
- Title
- Owner
- Phone
- (954) 210-7994
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | Primary |
Addresses
Primary practice location
10075 S Jog Rd Ste 102
Boynton Beach, FL 33437-3532
Mailing address
10075 S Jog Rd Ste 102
Boynton Beach, FL 33437-3532
Phone (561) 244-7022
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
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- Pembroke Pines, FL
- NPI 1902059348
-
- Dentist
- Boynton Beach, FL
- NPI 1104207703
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1581033600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1581465600000",
"number": "1649802612",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10075 S JOG RD STE 102",
"city": "BOYNTON BEACH",
"state": "FL",
"postal_code": "334373532",
"telephone_number": "561-244-7022"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10075 S JOG RD STE 102",
"city": "BOYNTON BEACH",
"state": "FL",
"postal_code": "334373532",
"telephone_number": "561-244-7022",
"fax_number": "561-244-7027"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SMILE PERFECTION DENTAL OF BOYNTON BEACH",
"organizational_subpart": "NO",
"enumeration_date": "2020-02-07",
"last_updated": "2020-02-12",
"certification_date": "2020-02-12",
"status": "A",
"authorized_official_last_name": "CHANG",
"authorized_official_first_name": "RICARDO",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "954-210-7994"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Dentist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Boynton Beach, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.