Active NPI
Gulfstream Pediatric Dentistry and Orthodontics LLC
- Dental Clinic/Center
- Boynton Beach, FL
National Provider Identifier
1871247692
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dental Clinic/Center
- Legal business name
- GULFSTREAM PEDIATRIC DENTISTRY AND ORTHODONTICS LLC
- Practice address
- 3469 W Boynton Beach Blvd Ste 20
Boynton Beach, FL 33436-4639 - Phone
- (561) 797-9042
- NPI assigned
- Feb 10, 2022
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Saylis Aleman
- Title
- Practice Administrator
- Phone
- (561) 797-9042
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dental Clinic/Center | 261QD0000X | Primary |
Addresses
Primary practice location
3469 W Boynton Beach Blvd Ste 20
Boynton Beach, FL 33436-4639
Mailing address
3469 W Boynton Beach Blvd Ste 20
Boynton Beach, FL 33436-4639
Phone (561) 797-9042
Other names 1
- Gulfstream Pediatric Dentistry and Orthodontics LLC
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | Direct |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1644451200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1644451200000",
"number": "1871247692",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3469 W BOYNTON BEACH BLVD STE 20",
"city": "BOYNTON BEACH",
"state": "FL",
"postal_code": "334364639",
"telephone_number": "561-797-9042"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3469 W BOYNTON BEACH BLVD STE 20",
"city": "BOYNTON BEACH",
"state": "FL",
"postal_code": "334364639",
"telephone_number": "561-797-9042"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "GULFSTREAM PEDIATRIC DENTISTRY AND ORTHODONTICS LLC",
"organizational_subpart": "NO",
"enumeration_date": "2022-02-10",
"last_updated": "2022-02-10",
"certification_date": "2022-02-10",
"status": "A",
"authorized_official_last_name": "ALEMAN",
"authorized_official_first_name": "SAYLIS",
"authorized_official_title_or_position": "PRACTICE ADMINISTRATOR",
"authorized_official_telephone_number": "561-797-9042"
},
"taxonomies": [
{
"code": "261QD0000X",
"taxonomy_group": "",
"desc": "Clinic/Center, Dental",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "email",
"affiliation": "N",
"endpointDescription": "gulfstreamdentistry@gmail.com",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"contentOtherDescription": "secure email",
"address_1": "3469 W Boynton Beach Blvd Ste 20",
"city": "Boynton Beach",
"state": "FL",
"country_code": "US",
"postal_code": "334364639",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": [
{
"organization_name": "Gulfstream Pediatric Dentistry and Orthodontics LLC",
"code": "4",
"type": "Former Legal Business Name"
}
]
}
Other providers in Boynton Beach, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.