Lisa M Feldman DMD PA

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

License

DN11970 Issued in FL

Legal business name

LISA M FELDMAN DMD PA

Doing business as

Dr. Lisa Pediatric Dentistry

Practice address

9804 S Military TRL
Suite E-3
Boynton Beach, FL 33436-3208

Phone

(561) 737-3633

Fax

(561) 737-5194

NPI assigned

Feb 18, 2007

Last updated

Apr 22, 2015By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Lisa M Feldman, DMDNPI 1659415065

Title

President

Phone

(561) 737-3633

Specialties & licenses 1

Addresses

Other names 1

• Dr. Lisa Pediatric Dentistry Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Lisa M Feldman, DMD

  • Pediatric Dentistry
  • Boynton Beach, FL
  • NPI 1659415065
  NPD (past) Authorized official

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

{
    "created_epoch": "1171756800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1429660800000",
    "number": "1902940315",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9804 S MILITARY TRL",
            "address_2": "SUITE E-3",
            "city": "BOYNTON BEACH",
            "state": "FL",
            "postal_code": "334363208",
            "telephone_number": "561-737-3633",
            "fax_number": "561-737-5194"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9804 S MILITARY TRL",
            "address_2": "SUITE E-3",
            "city": "BOYNTON BEACH",
            "state": "FL",
            "postal_code": "334363208",
            "telephone_number": "561-737-3633",
            "fax_number": "561-737-5194"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LISA M FELDMAN DMD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-18",
        "last_updated": "2015-04-22",
        "status": "A",
        "authorized_official_last_name": "FELDMAN",
        "authorized_official_first_name": "LISA",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "561-737-3633",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "FL",
            "license": "DN11970",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Dr. Lisa Pediatric Dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Jeanette Ann Lingholm, COTA
• Madelyn B Lipman, MD
• Carlos Lira, MD
• Lisa Cicetti Psy.D., LMHC Inc.
• Lisa Cicetti PSYD LMHC Inc.
• Lisa Salcedo LCSW PA
• Jeffrey Bert Lissauer, D.M.D.
• Cassandra Nicole List
• Little Connections Therapy LLC
• Little Smiles Dental Office # 3

• Pediatric Dentistry in Boynton Beach, FL
• Providers in Boynton Beach, FL by specialty
• Pediatric Dentistry in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2015; 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.