Alain Pouleriguen, D.M.D.

Primary specialty

DentistTaxonomy code 122300000X

License

DN0012610 Issued in FL

Practice address

100 S Military TRL
Ste 4
Deerfield Beach, FL 33442-3031

Phone

(954) 725-8522

NPI assigned

Apr 24, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles (1 of 2)

Networks

• Freedom Health HMO Network

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Deerfield Family Dental Inc

  • Dentist
  • Deerfield Beach, FL
  • NPI 1679907752
  NPD (past) Authorized official

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

{
    "created_epoch": "1177372800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1710106307",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 S MILITARY TRL",
            "address_2": "STE 4",
            "city": "DEERFIELD BEACH",
            "state": "FL",
            "postal_code": "334423031",
            "telephone_number": "954-725-8522"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 S MILITARY TRL",
            "address_2": "STE 4",
            "city": "DEERFIELD BEACH",
            "state": "FL",
            "postal_code": "334423031",
            "telephone_number": "954-725-8522"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POULERIGUEN",
        "first_name": "ALAIN",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-04-24",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "FL",
            "license": "DN0012610",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dana Biddle Portnoy, ARNP
• Talia Anne Max Porto, RN,BSN
• Positive Path of Deerfield Beach
• Whitney Amanda Potts
• Kristina Poudrier
• Cornelius Powell III, M.D.
• Jada Powell
• Power Plus Rehab, Inc.
• Kera Powers Gore
• Joshua Scott Powers, MD

• Dentist in Deerfield Beach, FL
• Providers in Deerfield Beach, FL by specialty
• Dentist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.