Individual provider Active NPI

Howard Kestenberg, DDS

  • General Practice Dentistry
  • Boca Raton, FL
National Provider Identifier
1851616312
Registry record updated Mar 28, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DN9649 Issued in FL
Practice address
1050 NW 15TH St
Suite 109a
Boca Raton, FL 33486-1375
Phone
(561) 394-2475
Fax
(561) 395-0113
NPI assigned
Mar 28, 2010
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 28, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X DN9649 FL Primary

Addresses

Primary practice location

1050 NW 15TH St
Suite 109a
Boca Raton, FL 33486-1375

Mailing address

1050 NW 15TH St
Suite 109a
Boca Raton, FL 33486-1375
Phone (561) 394-2475

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
DN9649FLMDGeneral Practice Dentistry

NPI Registry JSON

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

{
    "created_epoch": "1269734400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1269734400000",
    "number": "1851616312",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1050 NW 15TH ST",
            "address_2": "SUITE 109A",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334861375",
            "telephone_number": "561-394-2475",
            "fax_number": "561-395-0113"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1050 NW 15TH ST",
            "address_2": "SUITE 109A",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334861375",
            "telephone_number": "561-394-2475",
            "fax_number": "561-395-0113"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KESTENBERG",
        "first_name": "HOWARD",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-03-28",
        "last_updated": "2010-03-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "FL",
            "license": "DN9649",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boca Raton, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 2010; 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.