Individual provider Active NPI

Lisa M Feldman, DMD

  • Pediatric Dentistry
  • Boynton Beach, FL
National Provider Identifier
1659415065
Registry record updated May 7, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
License
DN11970 Issued in FL
Practice address
9804 S Military TRL
Ste E-3
Boynton Beach, FL 33436-3208
Phone
(561) 737-3633
Fax
(561) 737-5194
NPI assigned
Feb 18, 2007
Last updated
May 7, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 7, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Dentistry 1223P0221X DN11970 FL Primary

Addresses

Primary practice location

9804 S Military TRL
Ste E-3
Boynton Beach, FL 33436-3208

Mailing address

9804 S Military TRL
Ste E-3
Boynton Beach, FL 33436-3208
Phone (561) 737-3633

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
DN11970FLMDPediatric Dentist

Practice roles

OrganizationSpecialtyStatusNew patients
Lisa M Feldman DMD PA Pediatric Dentistry Past Accepting new patients

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": "1171756800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1746576000000",
    "number": "1659415065",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9804 S MILITARY TRL",
            "address_2": "STE E-3",
            "city": "BOYNTON BEACH",
            "state": "FL",
            "postal_code": "334363208",
            "telephone_number": "561-737-3633",
            "fax_number": "561-737-5194"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9804 S MILITARY TRL",
            "address_2": "STE E-3",
            "city": "BOYNTON BEACH",
            "state": "FL",
            "postal_code": "334363208",
            "telephone_number": "561-737-3633",
            "fax_number": "561-737-5194"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FELDMAN",
        "first_name": "LISA",
        "middle_name": "M",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-18",
        "last_updated": "2025-05-07",
        "certification_date": "2025-05-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "FL",
            "license": "DN11970",
            "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 May 7, 2025; 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.