NPIMap

Organization Active NPI

Joseph Thayil DMD PA

  • General Practice Dentistry
  • Pompano Beach, FL
National Provider Identifier
1881053247
Registry record updated Feb 14, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DN18502 Issued in FL
Legal business name
JOSEPH THAYIL DMD PA
Practice address
2700 NE 14TH Street Cswy
Suite 105
Pompano Beach, FL 33062-3561
Phone
(954) 941-2412
NPI assigned
Feb 14, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 14, 2016

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

Authorized official

Name
Dr. Joseph Thayil, DMDNPI 1639301286
Title
Owner
Phone
(954) 655-6368

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223G0001X DN18502 FL Primary

Addresses

Primary practice location

2700 NE 14TH Street Cswy
Suite 105
Pompano Beach, FL 33062-3561

Mailing address

2700 NE 14TH Street Cswy
Suite 105
Pompano Beach, FL 33062-3561
Phone (954) 941-2412

Other names 1

  • My Pompano Dentist Doing business as

National Provider Directory

National Provider Directory

Locations

2700 NE 14th Street Cswy
Ste 105
Pompano Beach, FL 33062
Phone (954) 941-2412

Practitioners & affiliated clinicians

Practitioners 3

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": "1455408000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1455408000000",
    "number": "1881053247",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2700 NE 14TH STREET CSWY",
            "address_2": "SUITE 105",
            "city": "POMPANO BEACH",
            "state": "FL",
            "postal_code": "330623561",
            "telephone_number": "954-941-2412"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2700 NE 14TH STREET CSWY",
            "address_2": "SUITE 105",
            "city": "POMPANO BEACH",
            "state": "FL",
            "postal_code": "330623561",
            "telephone_number": "954-941-2412"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOSEPH THAYIL DMD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-02-14",
        "last_updated": "2016-02-14",
        "status": "A",
        "authorized_official_last_name": "THAYIL",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "954-655-6368",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "FL",
            "license": "DN18502",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "My Pompano Dentist",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Pompano Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 2016; 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.