Individual provider Active NPI

Irwine Sainvil, D.D.S.

  • Pediatric Dentistry
  • Lake Worth, FL
National Provider Identifier
1801299177
Registry record updated Jun 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
License
DN21385 Issued in FL
Practice address
6045 Hagen Ranch Rd Ste 3
Lake Worth, FL 33467-7251
Phone
(561) 845-7374
Fax
(561) 725-8141
NPI assigned
Oct 1, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 27, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X DL12313 MA
Pediatric Dentistry 1223P0221X DN21385 FL Primary

Addresses

Primary practice location

6045 Hagen Ranch Rd Ste 3
Lake Worth, FL 33467-7251

Mailing address

5518 Lake Howell Rd
Winter Park, FL 32792-1036
Phone (407) 737-7767

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

LicenseStateTypeSpecialty
DL12313MAMDDentist
DN21385FLMDPediatric Dentist

Practice roles

OrganizationSpecialtyStatusNew patients
Kidzvil Pediatric Dentistry PLLC Dentist CurrentSince Sep 23, 2024 Accepting new patients
Pediatric Dental Group Pediatric Dentistry Past Accepting new patients

Locations

6045 Hagen Ranch Rd
Ste 3
Lake Worth, FL 33467
Phone (305) 794-5686

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1412121600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1687824000000",
    "number": "1801299177",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5518 LAKE HOWELL RD",
            "city": "WINTER PARK",
            "state": "FL",
            "postal_code": "327921036",
            "telephone_number": "407-737-7767"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6045 HAGEN RANCH RD STE 3",
            "city": "LAKE WORTH",
            "state": "FL",
            "postal_code": "334677251",
            "telephone_number": "561-845-7374",
            "fax_number": "561-725-8141"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAINVIL",
        "first_name": "IRWINE",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-10-01",
        "last_updated": "2023-06-27",
        "certification_date": "2023-06-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MA",
            "license": "DL12313",
            "primary": false
        },
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "FL",
            "license": "DN21385",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lake Worth, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 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.