Idental of Delray Beach, PLLC

Primary specialty

DentistTaxonomy code 122300000X

License

DN16932 Issued in FL

Legal business name

IDENTAL OF DELRAY BEACH, PLLC

Practice address

4993 W Atlantic Ave
Delray Beach, FL 33445-3850

Phone

(561) 381-3100

Fax

(561) 381-3323

NPI assigned

Jul 11, 2017

Organization subpart

No

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

Authorized official

Name

Michael Floyd Battle, DDS

Title

Dentist / Owner

Phone

(727) 327-5561

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1499731200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1599091200000",
    "number": "1750803896",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1507 LYONS RD",
            "city": "COCONUT CREEK",
            "state": "FL",
            "postal_code": "330633934",
            "telephone_number": "954-974-4101",
            "fax_number": "561-381-3323"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4993 W ATLANTIC AVE",
            "city": "DELRAY BEACH",
            "state": "FL",
            "postal_code": "334453850",
            "telephone_number": "561-381-3100",
            "fax_number": "561-381-3323"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IDENTAL OF DELRAY BEACH, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-07-11",
        "last_updated": "2020-09-03",
        "certification_date": "2020-09-03",
        "status": "A",
        "authorized_official_last_name": "BATTLE",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "FLOYD",
        "authorized_official_title_or_position": "DENTIST / OWNER",
        "authorized_official_telephone_number": "727-327-5561",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "FL",
            "license": "DN16932",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 2020; 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.