M I Pickron PA

Primary specialty

Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X

Legal business name

M I PICKRON PA

Practice address

6476 Lake Worth Rd
Greenacres, FL 33463-3008

Phone

(404) 824-5190

NPI assigned

Nov 19, 2020

Organization subpart

No

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

Authorized official

Name

Matthew Pickron, DMDNPI 1326647215

Title

Owner

Phone

(404) 824-5190

Specialties & licenses 1

Addresses

Other names 1

• Simply Braces Doing business as

Locations

Practitioners 1

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

• Matthew Inaba Pickron, DMD

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Lake Worth, FL
  • NPI 1326647215
  NPD Authorized official

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

{
    "created_epoch": "1605744000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1605744000000",
    "number": "1841893062",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "611 NE 12TH TER APT 1",
            "city": "BOYNTON BEACH",
            "state": "FL",
            "postal_code": "334353264",
            "telephone_number": "404-824-5190"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6476 LAKE WORTH RD",
            "city": "GREENACRES",
            "state": "FL",
            "postal_code": "334633008",
            "telephone_number": "404-824-5190"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "M I PICKRON PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-11-19",
        "last_updated": "2020-11-19",
        "certification_date": "2020-11-19",
        "status": "A",
        "authorized_official_last_name": "PICKRON",
        "authorized_official_first_name": "MATTHEW",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "404-824-5190",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Simply Braces",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Joseph L Lunsford, DDS, MS
• Lux Senior Care LLC
• LWC Lake Worth PLLC
• Lynden Home Health Agency, LLC
• Lynden Nursing Service
• Richard Mabitad
• Kristine Macaya, PHARMD
• Douglas John Machiela, OD
• Macron Dental Care
• Marie Guerda Madeus

• Orthodontics and Dentofacial Orthopedics Dentistry in Greenacres, FL
• Providers in Greenacres, FL by specialty
• Orthodontics and Dentofacial Orthopedics Dentistry in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2020; 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.