Organization Active NPI

Boca Orofacial Pain Center,PA.

  • Dental Clinic/Center
  • Boca Raton, FL
National Provider Identifier
1669641502
Registry record updated Feb 25, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
License
12267 Issued in FL
Legal business name
BOCA OROFACIAL PAIN CENTER,PA.
Practice address
3401 N Federal Hwy
Ste. 101
Boca Raton, FL 33431-6046
Phone
(561) 750-6790
NPI assigned
Feb 25, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 25, 2008

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

Authorized official

Name
Dr. Alvaro Betancur, DD
Title
Presedent
Phone
(561) 750-6790

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X 12267 FL Primary
Emergency Care Clinic/Center 261QE0002X 12267 FL
Pain Clinic/Center 261QP3300X 12267 FL
Radiology Clinic/Center 261QR0200X 12267 FL
Oral and Maxillofacial Surgery Clinic/Center 261QS0112X 12267 FL

Addresses

Primary practice location

3401 N Federal Hwy
Ste. 101
Boca Raton, FL 33431-6046

Mailing address

3401 N Federal Hwy
Ste. 101
Boca Raton, FL 33431-6046
Phone (561) 750-6790

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1203897600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1203897600000",
    "number": "1669641502",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3401 N FEDERAL HWY",
            "address_2": "STE. 101",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334316046",
            "telephone_number": "561-750-6790"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3401 N FEDERAL HWY",
            "address_2": "STE. 101",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334316046",
            "telephone_number": "561-750-6790"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BOCA OROFACIAL PAIN CENTER,PA.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-25",
        "last_updated": "2008-02-25",
        "status": "A",
        "authorized_official_last_name": "BETANCUR",
        "authorized_official_first_name": "ALVARO",
        "authorized_official_title_or_position": "PRESEDENT",
        "authorized_official_telephone_number": "561-750-6790",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DD"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "FL",
            "license": "12267",
            "primary": true
        },
        {
            "code": "261QE0002X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Emergency Care",
            "state": "FL",
            "license": "12267",
            "primary": false
        },
        {
            "code": "261QP3300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Pain",
            "state": "FL",
            "license": "12267",
            "primary": false
        },
        {
            "code": "261QR0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Radiology",
            "state": "FL",
            "license": "12267",
            "primary": false
        },
        {
            "code": "261QS0112X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Oral and Maxillofacial Surgery",
            "state": "FL",
            "license": "12267",
            "primary": false
        }
    ],
    "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 Feb 25, 2008; 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.