Individual provider Active NPI

Adrian W Acosta, DMD

  • Dentist
  • North Palm Beach, FL
National Provider Identifier
1811019755
Registry record updated Apr 6, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
DN15916 Issued in FL
Practice address
784 US Highway 1
Suite 10
North Palm Beach, FL 33408-4415
Phone
(561) 622-0301
Fax
(561) 622-4625
NPI assigned
Apr 4, 2007
Last updated
Apr 6, 2009By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 6, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X DN15916 FL Primary

Addresses

Primary practice location

784 US Highway 1
Suite 10
North Palm Beach, FL 33408-4415

Mailing address

784 US Highway 1
Suite 10
North Palm Beach, FL 33408-4415
Phone (561) 622-0301

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
DN15916FLMDDentist

NPI Registry JSON

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

{
    "created_epoch": "1175644800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1238976000000",
    "number": "1811019755",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "784 US HIGHWAY 1",
            "address_2": "SUITE 10",
            "city": "NORTH PALM BEACH",
            "state": "FL",
            "postal_code": "334084415",
            "telephone_number": "561-622-0301",
            "fax_number": "561-622-4625"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "784 US HIGHWAY 1",
            "address_2": "SUITE 10",
            "city": "NORTH PALM BEACH",
            "state": "FL",
            "postal_code": "334084415",
            "telephone_number": "561-622-0301",
            "fax_number": "561-622-4625"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ACOSTA",
        "first_name": "ADRIAN",
        "middle_name": "W",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-04-04",
        "last_updated": "2009-04-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "FL",
            "license": "DN15916",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Palm Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 2009; 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.