Alvaro Betancur, D.D.S. IMPLANTS, TMJ

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DN12267 Issued in FL

Practice address

3401 N Federal Hwy
Suite 101
Boca Raton, FL 33431-6046

Phone

(561) 750-6790

Fax

(561) 750-0535

NPI assigned

Jun 18, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Boca Orofacial Pain Center,PA. Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1182124800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1324512000000",
    "number": "1750586079",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3401 N FEDERAL HWY",
            "address_2": "SUITE 101",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334316046",
            "telephone_number": "561-750-6790",
            "fax_number": "561-750-0535"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3401 N FEDERAL HWY",
            "address_2": "SUITE 101",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334316046",
            "telephone_number": "561-750-6790",
            "fax_number": "561-750-0535"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BETANCUR",
        "first_name": "ALVARO",
        "name_prefix": "Dr.",
        "credential": "D.D.S. IMPLANTS, TMJ",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-06-18",
        "last_updated": "2011-12-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "FL",
            "license": "DN12267",
            "primary": true
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "HI",
            "license": "1671",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "BOCA OROFACIAL",
            "last_name": "PAIN CENTER,PA.",
            "credential": "IMPLANTS AND TMJ",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

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• General Practice Dentistry in Boca Raton, FL
• Providers in Boca Raton, FL by specialty
• General Practice Dentistry in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 22, 2011; 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.