Children's Hospital Dentistry, Inc.

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

License

6848 Issued in FL

Legal business name

CHILDREN'S HOSPITAL DENTISTRY, INC.

Practice address

1411 N Flagler Dr
#4100
West Palm Beach, FL 33401-3404

Phone

(561) 685-7020

NPI assigned

Aug 2, 2012

Organization subpart

No

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

Authorized official

Name

Burt Jordan

Title

Ceo

Phone

(561) 685-7020

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1343865600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1343865600000",
    "number": "1700132271",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9751 E BAY HARBOR DR",
            "address_2": "#1204",
            "city": "BAY HARBOR ISLANDS",
            "state": "FL",
            "postal_code": "331543830"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1411 N FLAGLER DR",
            "address_2": "#4100",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334013404",
            "telephone_number": "561-685-7020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHILDREN'S HOSPITAL DENTISTRY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-08-02",
        "last_updated": "2012-08-02",
        "status": "A",
        "authorized_official_last_name": "JORDAN",
        "authorized_official_first_name": "BURT",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "561-685-7020"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "FL",
            "license": "6848",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Children Plus Health Group
• Children's Case Management Organization, Inc (Families First of Palm Beach County)
• Children's Case Management Organization, Inc. (Families First of Palm Beach County)
• Children's Home Society of Florida
• Children's Home Society of Florida
• Childrens Behavior Assistance
• Childrens Behavioral Intervention Corp
• Childrens Hematology & Oncology Associates P a
• Valerie D Childs, CNA
• Arlene Chin

• Dental Clinic/Center in West Palm Beach, FL
• Providers in West Palm Beach, FL by specialty
• Dental Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 2012; 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.