Jennifer Boyajian Medina, D.M.D.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DN 17999 Issued in FL

Practice address

235 Peruvian Ave
Palm Beach, FL 33480-4695

Phone

(561) 802-4424

Fax

(561) 802-4494

NPI assigned

May 1, 2008

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other names 1

• Dr. Jennifer Rose Boyajian Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1209600000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1357776000000",
    "number": "1861668634",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "235 PERUVIAN AVE",
            "city": "PALM BEACH",
            "state": "FL",
            "postal_code": "334804695",
            "telephone_number": "561-802-4424",
            "fax_number": "561-802-4494"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "235 PERUVIAN AVE",
            "city": "PALM BEACH",
            "state": "FL",
            "postal_code": "334804695",
            "telephone_number": "561-802-4424",
            "fax_number": "561-802-4494"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MEDINA",
        "first_name": "JENNIFER",
        "middle_name": "BOYAJIAN",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-05-01",
        "last_updated": "2013-01-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "FL",
            "license": "DN 17999",
            "primary": true
        },
        {
            "code": "124Q00000X",
            "taxonomy_group": "",
            "desc": "Dental Hygienist",
            "state": "FL",
            "license": "DH 15990",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JENNIFER",
            "last_name": "BOYAJIAN",
            "middle_name": "ROSE",
            "prefix": "DR.",
            "credential": "D.M.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Neville S Marks, M.D.
• Mindy W. Martin, PH.D.
• Petra Kaye McEwan, MD
• MCW Psych Care MD, LLC
• Medicinal Technologies
• Paul Melchiorre, DMD
• Susan L Merola-McConn, MD
• Myeyedr Optometry of Florida, LLC
• Nadroj Helping Hands, LLC.
• Sondra E Nantes, PA-C

• General Practice Dentistry in Palm Beach, FL
• Providers in Palm Beach, 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 10, 2013; 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.