Organization Active NPI

Deyab DDS PLLC

Doing business as Quantum Dental

  • Dentist
  • Boynton Beach, FL
National Provider Identifier
1780376426
Registry record updated Aug 3, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
Legal business name
DEYAB DDS PLLC
Doing business as
Quantum Dental
Practice address
1034 Gateway Blvd Ste 101
Boynton Beach, FL 33426-8360
Phone
(561) 249-2585
Fax
(561) 318-8040
NPI assigned
May 22, 2023
Last updated
Aug 3, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 3, 2023

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

Authorized official

Name
Dr. Tim Deyab, DDSNPI 1124119474
Title
Owner
Phone
(561) 249-2585

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
Dentist 122300000X NU Primary

Addresses

Primary practice location

1034 Gateway Blvd Ste 101
Boynton Beach, FL 33426-8360

Mailing address

1034 Gateway Blvd Ste 101
Boynton Beach, FL 33426-8360
Phone (561) 249-2585

Other identifiers 1

IdentifierTypeStateIssuer
1124119474MedicaidFL

Other names 1

  • Quantum Dental Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1684713600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1691020800000",
    "number": "1780376426",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1034 GATEWAY BLVD STE 101",
            "city": "BOYNTON BEACH",
            "state": "FL",
            "postal_code": "334268360",
            "telephone_number": "561-249-2585",
            "fax_number": "561-318-8040"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1034 GATEWAY BLVD STE 101",
            "city": "BOYNTON BEACH",
            "state": "FL",
            "postal_code": "334268360",
            "telephone_number": "561-249-2585",
            "fax_number": "561-318-8040"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DEYAB DDS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-05-22",
        "last_updated": "2023-08-03",
        "certification_date": "2023-08-03",
        "status": "A",
        "authorized_official_last_name": "DEYAB",
        "authorized_official_first_name": "TIM",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "561-249-2585",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1124119474",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Quantum Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Boynton Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 2023; 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.