Organization Active NPI

Smile Perfection Dental of Boynton Beach

  • Dentist
  • Boynton Beach, FL
National Provider Identifier
1649802612
Registry record updated Feb 12, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
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, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 12, 2020

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

Authorized official

Name
Ricardo ChangNPI 1902059348
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)CodeLicenseStatePrimary
DentistGroup: 193200000X MULTI-SPECIALTY GROUP 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 Directory

Practitioners & 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.

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.

Verify at the official NPI Registry.