Palm Beach Orthodontics Inc

Primary specialty

Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X

Legal business name

PALM BEACH ORTHODONTICS INC

Practice address

400 Executive Center Dr
Suite 105
West Palm Beach, FL 33401-2917

Phone

(561) 686-3335

Fax

(561) 687-9183

NPI assigned

Oct 19, 2015

Last updated

Oct 19, 2015By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Carrol Ann Fenn, DDSNPI 1346406105

Title

Owner

Phone

(561) 686-3335

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Carrol Ann Fenn, D.D.S.

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • West Palm Beach, FL
  • NPI 1346406105
  NPD (past) Authorized official

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

{
    "created_epoch": "1445212800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1445212800000",
    "number": "1750752507",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 EXECUTIVE CENTER DR",
            "address_2": "SUITE 105",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334012917",
            "telephone_number": "561-686-3335",
            "fax_number": "561-687-9183"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 EXECUTIVE CENTER DR",
            "address_2": "SUITE 105",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334012917",
            "telephone_number": "561-686-3335",
            "fax_number": "561-687-9183"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PALM BEACH ORTHODONTICS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-10-19",
        "last_updated": "2015-10-19",
        "status": "A",
        "authorized_official_last_name": "FENN",
        "authorized_official_first_name": "CARROL",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "561-686-3335",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Palm Beach Neurology
• Palm Beach Neurology (Innovative Diagnostic Imaging)
• Palm Beach NH LLC (Palm Beach Shores Health and Rehabilitation Center)
• Palm Beach Nursing, Inc.
• Palm Beach Oral and Maxillofacial Surgery
• Palm Beach Orthopaedic Associates, L.L.C. (Elite Orthopaedic Associates)
• Palm Beach Orthopaedic Institute PA
• Palm Beach Orthopaedic Institute, PA
• Palm Beach Outpatient Surgery Center LLC
• Palm Beach Pathology PA

• Orthodontics and Dentofacial Orthopedics Dentistry in West Palm Beach, FL
• Providers in West Palm Beach, FL by specialty
• Orthodontics and Dentofacial Orthopedics Dentistry in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2015; 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.