Organization Active NPI

Gulfstream Pediatric Dentistry and Orthodontics LLC

  • Dental Clinic/Center
  • Boynton Beach, FL
National Provider Identifier
1871247692
Registry record updated Feb 10, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
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

Updated by the provider on Feb 10, 2022

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)CodeLicenseStatePrimary
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 Former legal business name

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL email Direct

National Provider Directory

National Provider Directory

NPI 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.

Verify at the official NPI Registry.