Active NPI
Palm Beach Cosmetic Dentistry
- Dental Clinic/Center
- Delray Beach, FL
National Provider Identifier
1780128033
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dental Clinic/Center
- License
- DN21023
- Legal business name
- PALM BEACH COSMETIC DENTISTRY
- Practice address
- 2150 Lake Ida Rd
Suite #8
Delray Beach, FL 33445-2443 - Phone
- (561) 272-4110
- Fax
- (561) 272-4174
- NPI assigned
- Dec 6, 2016
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Tiffany Moncrieffe, DMD
- Title
- Coo
- Phone
- (718) 801-0187
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Dental Clinic/Center | 261QD0000X | DN21023 | FL | Primary |
Addresses
Primary practice location
2150 Lake Ida Rd
Suite #8
Delray Beach, FL 33445-2443
Mailing address
2150 Lake Ida Rd
Suite #8
Delray Beach, FL 33445-2443
Phone (561) 272-4110
National Provider Directory
National Provider DirectoryLocations
2150 Lake Ida Rd
Ste 8
Delray Beach, FL 33445
Phone (407) 272-4110
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- General Practice Dentistry
- Fort Lauderdale, FL
- NPI 1972735611
-
- General Practice Dentistry
- Delray Beach, FL
- NPI 1639280498
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1480982400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1480982400000",
"number": "1780128033",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2150 LAKE IDA RD",
"address_2": "SUITE #8",
"city": "DELRAY BEACH",
"state": "FL",
"postal_code": "334452443",
"telephone_number": "561-272-4110",
"fax_number": "561-272-4174"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2150 LAKE IDA RD",
"address_2": "SUITE #8",
"city": "DELRAY BEACH",
"state": "FL",
"postal_code": "334452443",
"telephone_number": "561-272-4110",
"fax_number": "561-272-4174"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PALM BEACH COSMETIC DENTISTRY",
"organizational_subpart": "NO",
"enumeration_date": "2016-12-06",
"last_updated": "2016-12-06",
"status": "A",
"authorized_official_last_name": "MONCRIEFFE",
"authorized_official_first_name": "TIFFANY",
"authorized_official_title_or_position": "COO",
"authorized_official_telephone_number": "718-801-0187",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DMD"
},
"taxonomies": [
{
"code": "261QD0000X",
"taxonomy_group": "",
"desc": "Clinic/Center, Dental",
"state": "FL",
"license": "DN21023",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Delray Beach, FL
- Ciana Pagano
- Monica Theresa Pagliarulo-Wallace, CPM, LM
- Michael Benjamin Alexander Paisner, DDS
- Palm Beach Botox
- Palm Beach Community Care, LLC
- Palm Beach County Health Dept.
- Palm Beach Eye Center Inc
- Palm Beach Family Foot Care, P.a.
- Palm Beach International Physical Therapy Inc
- Palm Beach Operating Subsidiary, LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 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.