Individual provider Active NPI

George Andrew Podray, D.D.S.

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Boynton Beach, FL
National Provider Identifier
1750495396
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
License
DN 0011864 Issued in FL
Practice address
3469 W Boynton Beach Blvd
Suite 20
Boynton Beach, FL 33436-4611
Phone
(561) 736-8755
Fax
(561) 736-3996
NPI assigned
Aug 19, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthodontics and Dentofacial Orthopedics Dentistry 1223X0400X DN 0011864 FL Primary

Addresses

Primary practice location

3469 W Boynton Beach Blvd
Suite 20
Boynton Beach, FL 33436-4611

Mailing address

3469 W Boynton Beach Blvd
Suite 20
Boynton Beach, FL 33436-4611
Phone (561) 736-8755

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
DN 0011864FLMDOrthodontics and Dentofacial Orthopedic Dentist

Practice roles

OrganizationSpecialtyStatusNew patients
Little Smiles Dental Office # 3 Past 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": "1155945600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1750495396",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3469 W BOYNTON BEACH BLVD",
            "address_2": "SUITE 20",
            "city": "BOYNTON BEACH",
            "state": "FL",
            "postal_code": "334364611",
            "telephone_number": "561-736-8755",
            "fax_number": "561-736-3996"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3469 W BOYNTON BEACH BLVD",
            "address_2": "SUITE 20",
            "city": "BOYNTON BEACH",
            "state": "FL",
            "postal_code": "334364611",
            "telephone_number": "561-736-8755",
            "fax_number": "561-736-3996"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PODRAY",
        "first_name": "GEORGE",
        "middle_name": "ANDREW",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-19",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "FL",
            "license": "DN 0011864",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boynton Beach, FL

Sources for this page

  • 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.