NPIMap

Organization Active NPI

Brilliant Smiles of Boca Raton LLC

  • General Practice Dentistry
  • Boca Raton, FL
National Provider Identifier
1700661329
Registry record updated Aug 30, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
BRILLIANT SMILES OF BOCA RATON LLC
Practice address
315 SE Mizner Blvd Ste 216
Boca Raton, FL 33432-6086
Phone
(561) 338-5005
NPI assigned
Aug 30, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 30, 2023

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

Authorized official

Name
Dr. Patricia O Brandao, DMDNPI 1528707882
Title
Owner
Phone
(561) 338-5005

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

315 SE Mizner Blvd Ste 216
Boca Raton, FL 33432-6086

Mailing address

315 SE Mizner Blvd Ste 216
Boca Raton, FL 33432-6086
Phone (561) 338-5005

National Provider Directory

National Provider Directory

Locations

315 SE Mizner Blvd
Ste 216
Boca Raton, FL 33432
Phone (561) 338-5005

Practitioners & affiliated clinicians

Practitioners 2

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": "1693353600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1693353600000",
    "number": "1700661329",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "315 SE MIZNER BLVD STE 216",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334326086",
            "telephone_number": "561-338-5005"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "315 SE MIZNER BLVD STE 216",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334326086",
            "telephone_number": "561-338-5005"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRILLIANT SMILES OF BOCA RATON LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-08-30",
        "last_updated": "2023-08-30",
        "certification_date": "2023-08-30",
        "status": "A",
        "authorized_official_last_name": "BRANDAO",
        "authorized_official_first_name": "PATRICIA",
        "authorized_official_middle_name": "O",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "561-338-5005",
        "authorized_official_name_prefix": "Dr.",
        "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 Aug 30, 2023; 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.