NPIMap

Organization Active NPI

Seda Dental of Pinecrest, P.a.

  • Dentist
  • Pinecrest, FL
National Provider Identifier
1851771018
Registry record updated Jun 3, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
DN14485 Issued in FL
Legal business name
SEDA DENTAL OF PINECREST, P.A.
Practice address
9507 S. Dixie Highway
Pinecrest, FL 33156
Phone
(305) 859-7949
Fax
(305) 859-9585
NPI assigned
Jun 3, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 3, 2015

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

Authorized official

Name
Dr. Kenneth David Rubinstein, DMD
Title
Co-Owner
Phone
(561) 738-9007

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X DN14485 FL Primary

Addresses

Primary practice location

9507 S. Dixie Highway
Pinecrest, FL 33156

Mailing address

10075 Jog Road
Suite 108
Boynton Beach, FL 33437
Phone (561) 738-9007

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1433289600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1433289600000",
    "number": "1851771018",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10075 JOG ROAD",
            "address_2": "SUITE 108",
            "city": "BOYNTON BEACH",
            "state": "FL",
            "postal_code": "33437",
            "telephone_number": "561-738-9007",
            "fax_number": "561-738-9963"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9507 S. DIXIE HIGHWAY",
            "city": "PINECREST",
            "state": "FL",
            "postal_code": "33156",
            "telephone_number": "305-859-7949",
            "fax_number": "305-859-9585"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SEDA DENTAL OF PINECREST, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-06-03",
        "last_updated": "2015-06-03",
        "status": "A",
        "authorized_official_last_name": "RUBINSTEIN",
        "authorized_official_first_name": "KENNETH",
        "authorized_official_middle_name": "DAVID",
        "authorized_official_title_or_position": "CO-OWNER",
        "authorized_official_telephone_number": "561-738-9007",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "FL",
            "license": "DN14485",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pinecrest, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2015; 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.