Organization Active NPI

Big Boca Smiles LLC

  • General Practice Dentistry
  • Boca Raton, FL
National Provider Identifier
1689225997
Registry record updated Sep 27, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
BIG BOCA SMILES LLC
Practice address
21301 Powerline Rd Ste 208
Boca Raton, FL 33433-2390
Phone
(561) 482-8000
NPI assigned
Sep 27, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 27, 2019

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

Authorized official

Name
E. Robert Spoont, DMDNPI 1861577082
Title
Owner
Phone
(561) 482-8000

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
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X Primary

Addresses

Primary practice location

21301 Powerline Rd Ste 208
Boca Raton, FL 33433-2390

Mailing address

21301 Powerline Rd Ste 208
Boca Raton, FL 33433-2390
Phone (561) 482-8000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20200228001341 FL DME Supplier - Oral Surgery - Dentist 0446687651 Practice locations: Boca Raton, FL

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1569542400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1569542400000",
    "number": "1689225997",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21301 POWERLINE RD STE 208",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334332390",
            "telephone_number": "561-482-8000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21301 POWERLINE RD STE 208",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334332390",
            "telephone_number": "561-482-8000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BIG BOCA SMILES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-09-27",
        "last_updated": "2019-09-27",
        "status": "A",
        "authorized_official_last_name": "SPOONT",
        "authorized_official_first_name": "E. ROBERT",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "561-482-8000",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "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, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.