Individual provider Active NPI

Theodore Sheldon Field III, DMD

  • General Practice Dentistry
  • Boca Raton, FL
National Provider Identifier
1730313610
Registry record updated May 7, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DN16163 Issued in FL
Practice address
3020 N Military TRL
Suite #250
Boca Raton, FL 33431-1814
Phone
(561) 443-4133
Fax
(561) 443-3670
NPI assigned
May 7, 2009
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 7, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X DN16163 FL Primary

Addresses

Primary practice location

3020 N Military TRL
Suite #250
Boca Raton, FL 33431-1814

Mailing address

3020 N Military TRL
Suite #250
Boca Raton, FL 33431-1814
Phone (561) 443-4133

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150617001638 FL Order and Referring Only - Oral SurgeryPractitioner - Oral Surgery 5496992802

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Field Dental Sleep Therapy, LLC General Practice PastSince Jan 29, 2013 Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1241654400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1241654400000",
    "number": "1730313610",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3020 N MILITARY TRL",
            "address_2": "SUITE #250",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334311814",
            "telephone_number": "561-443-4133",
            "fax_number": "561-443-3670"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3020 N MILITARY TRL",
            "address_2": "SUITE #250",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334311814",
            "telephone_number": "561-443-4133",
            "fax_number": "561-443-3670"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FIELD",
        "first_name": "THEODORE",
        "middle_name": "SHELDON",
        "name_prefix": "Dr.",
        "name_suffix": "III",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-05-07",
        "last_updated": "2009-05-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "FL",
            "license": "DN16163",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boca Raton, FL

Sources for this page

Verify at the official NPI Registry.