Active NPI
Robert Louis Simon, D.M.D
- Dentist
- Boynton Beach, FL
National Provider Identifier
1780860593
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 7602
- Practice address
- 1403 W Boynton Beach Blvd
Suite 18
Boynton Beach, FL 33426-3425 - Phone
- (561) 734-0700
- Fax
- (561) 734-4814
- NPI assigned
- Jan 11, 2008
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 7602 | FL | Primary |
Addresses
Primary practice location
1403 W Boynton Beach Blvd
Suite 18
Boynton Beach, FL 33426-3425
Mailing address
1403 W Boynton Beach Blvd
Boynton Beach, FL 33426-3425
Phone (561) 734-0700
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 7602 | FL | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1200009600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1200009600000",
"number": "1780860593",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1403 W BOYNTON BEACH BLVD",
"city": "BOYNTON BEACH",
"state": "FL",
"postal_code": "334263425",
"telephone_number": "561-734-0700",
"fax_number": "561-734-4814"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1403 W BOYNTON BEACH BLVD",
"address_2": "SUITE 18",
"city": "BOYNTON BEACH",
"state": "FL",
"postal_code": "334263425",
"telephone_number": "561-734-0700",
"fax_number": "561-734-4814"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SIMON",
"first_name": "ROBERT",
"middle_name": "LOUIS",
"name_prefix": "Dr.",
"credential": "D.M.D",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2008-01-11",
"last_updated": "2008-01-11",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "FL",
"license": "7602",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}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 Jan 11, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.