Organization Active NPI

Pure Dental Care,P.a.

  • General Practice Dentistry
  • West Palm Beach, FL
National Provider Identifier
1710405352
Registry record updated Sep 5, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DN0011665 Issued in FL
Legal business name
PURE DENTAL CARE,P.A.
Practice address
2326 South Congress Avenue
West Palm Beach, FL 33406
Phone
(561) 439-4620
NPI assigned
Sep 5, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 5, 2017

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

Authorized official

Name
Dr. Yagnabala K Patel, BDS
Title
President
Phone
(561) 306-2626

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223G0001X DN0011665 FL Primary

Addresses

Primary practice location

2326 South Congress Avenue
West Palm Beach, FL 33406

Mailing address

104 Winsdor Court
Atlantis, FL 33462
Phone (561) 306-2646

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1504569600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1504569600000",
    "number": "1710405352",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "104 WINSDOR COURT",
            "city": "ATLANTIS",
            "state": "FL",
            "postal_code": "33462",
            "telephone_number": "561-306-2646"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2326 SOUTH CONGRESS AVENUE",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "33406",
            "telephone_number": "561-439-4620"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PURE DENTAL CARE,P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-09-05",
        "last_updated": "2017-09-05",
        "status": "A",
        "authorized_official_last_name": "PATEL",
        "authorized_official_first_name": "YAGNABALA",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "561-306-2626",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "BDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "FL",
            "license": "DN0011665",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Palm Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 2017; 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.