Organization Active NPI

Forest Hill Family Orthodontics, PLLC

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • West Palm Beach, FL
National Provider Identifier
1841896792
Registry record updated Dec 7, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
Legal business name
FOREST HILL FAMILY ORTHODONTICS, PLLC
Practice address
3472 Forest Hill Blvd Ste 1
West Palm Beach, FL 33406-5864
Phone
(561) 328-1555
NPI assigned
Dec 7, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 7, 2020

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

Authorized official

Name
Mr. David Shutts
Title
Ceo
Phone
(954) 803-9351

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthodontics and Dentofacial Orthopedics DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223X0400X Primary

Addresses

Primary practice location

3472 Forest Hill Blvd Ste 1
West Palm Beach, FL 33406-5864

Mailing address

3472 Forest Hill Blvd Ste 1
West Palm Beach, FL 33406-5864
Phone (561) 328-1555

Other identifiers 1

IdentifierTypeStateIssuer
1194057620OtherFLNPI

National Provider Directory

National Provider Directory

Locations

3472 Forest Hill Blvd
Ste 1
West Palm Beach, FL 33406
Phone (561) 328-1555

NPI Registry JSON

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

{
    "created_epoch": "1607299200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1607299200000",
    "number": "1841896792",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3472 FOREST HILL BLVD STE 1",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334065864",
            "telephone_number": "561-328-1555"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3472 FOREST HILL BLVD STE 1",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334065864",
            "telephone_number": "561-328-1555"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FOREST HILL FAMILY ORTHODONTICS, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-12-07",
        "last_updated": "2020-12-07",
        "certification_date": "2020-12-07",
        "status": "A",
        "authorized_official_last_name": "SHUTTS",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "954-803-9351",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1194057620",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in West Palm Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 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.