Organization Active NPI

East Delray Dental, PLLC

  • Dental Clinic/Center
  • Delray Beach, FL
National Provider Identifier
1770028243
Registry record updated Dec 19, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
License
DN21073 Issued in FL
Legal business name
EAST DELRAY DENTAL, PLLC
Practice address
715 NE 3Rd Ave
Delray Beach, FL 33444-3822
Phone
(561) 276-2020
Fax
(561) 276-4713
NPI assigned
Dec 19, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 19, 2016

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

Authorized official

Name
Dr. Lauren O'Hagan, D.M.D.NPI 1598183253
Title
Manager
Phone
(561) 276-2020

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X DN21073 FL Primary

Addresses

Primary practice location

715 NE 3Rd Ave
Delray Beach, FL 33444-3822

Mailing address

715 NE 3Rd Ave
Delray Beach, FL 33444-3822
Phone (561) 276-2020

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1482105600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1482105600000",
    "number": "1770028243",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "715 NE 3RD AVE",
            "city": "DELRAY BEACH",
            "state": "FL",
            "postal_code": "334443822",
            "telephone_number": "561-276-2020",
            "fax_number": "561-276-4713"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "715 NE 3RD AVE",
            "city": "DELRAY BEACH",
            "state": "FL",
            "postal_code": "334443822",
            "telephone_number": "561-276-2020",
            "fax_number": "561-276-4713"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EAST DELRAY DENTAL, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-12-19",
        "last_updated": "2016-12-19",
        "status": "A",
        "authorized_official_last_name": "O'HAGAN",
        "authorized_official_first_name": "LAUREN",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "561-276-2020",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.M.D."
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "FL",
            "license": "DN21073",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Delray Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 2016; 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.