TDC Jupiter, LLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

TDC JUPITER, LLC

Practice address

1230 W Indiantown Rd Ste 101
Jupiter, FL 33458-3904

Phone

(561) 743-8877

NPI assigned

Dec 18, 2018

Organization subpart

Yes

Parent organization

EKOS DENTAL GROUP LLCAs reported in NPPES

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

Authorized official

Name

Dr. Sean Tomalty, DMDNPI 1033559281

Title

President

Phone

(561) 789-6611

Specialties & licenses 1

Addresses

Part of

Ekos Dental Group LLC

Locations

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

• Ekos Dental Group LLC

  • Dental Clinic/Center
  • Boynton Beach, FL
  • NPI 1821704677
  NPPES parent name

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Sean Tomalty, D.M.D.

  • Dentist
  • Boynton Beach, FL
  • NPI 1033559281
  NPD (past) Authorized official
• Jeffrey V. Riso, DDS

  • General Practice Dentistry
  • Jupiter, FL
  • NPI 1013139708
  NPD (past)

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

{
    "created_epoch": "1545091200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1674604800000",
    "number": "1831661735",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8794 W BOYNTON BEACH BLVD STE 218",
            "city": "BOYNTON BEACH",
            "state": "FL",
            "postal_code": "334724469",
            "telephone_number": "561-777-8980"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1230 W INDIANTOWN RD STE 101",
            "city": "JUPITER",
            "state": "FL",
            "postal_code": "334583904",
            "telephone_number": "561-743-8877"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TDC JUPITER, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "EKOS DENTAL GROUP LLC",
        "enumeration_date": "2018-12-18",
        "last_updated": "2023-01-25",
        "certification_date": "2023-01-25",
        "status": "A",
        "authorized_official_last_name": "TOMALTY",
        "authorized_official_first_name": "SEAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "561-789-6611",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tasmina Sheikh M D P a
• Tata'S Caring Services LLC
• Rachel W Taylor, APRN
• Shelby Jo Taylor
• TDC Jupiter Farms, LLC
• Meaghan Teague
• Austin Teall, DPT
• Marshall L Teitelbaum, MD
• Taylor Rae Tendrich, DPM
• Tenet Florida Physician Services II, LLC

• General Practice Dentistry in Jupiter, FL
• Providers in Jupiter, FL by specialty
• General Practice Dentistry in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 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.