Active NPI
Anastasiya Philip
- Dentist
- Boca Raton, FL
National Provider Identifier
1902425127
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- DN29986
- Practice address
- 1200 W Yamato Rd Ste A4
Boca Raton, FL 33431-4428 - Phone
- (561) 475-2866
- NPI assigned
- Apr 9, 2020
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 062112 | NY | |
| Dentist | 122300000X | DN29986 | FL | Primary |
Addresses
Primary practice location
1200 W Yamato Rd Ste A4
Boca Raton, FL 33431-4428
Mailing address
1200 W Yamato Rd Ste A4
Boca Raton, FL 33431-4428
Phone (561) 475-2866
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 062112 | NY | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1586390400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1784851200000",
"number": "1902425127",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1200 W YAMATO RD STE A4",
"city": "BOCA RATON",
"state": "FL",
"postal_code": "334314428",
"telephone_number": "561-475-2866"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1200 W YAMATO RD STE A4",
"city": "BOCA RATON",
"state": "FL",
"postal_code": "334314428",
"telephone_number": "561-475-2866"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PHILIP",
"first_name": "ANASTASIYA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-04-09",
"last_updated": "2026-07-24",
"certification_date": "2026-07-24",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "NY",
"license": "062112",
"primary": false
},
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "FL",
"license": "DN29986",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Boca Raton, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.