Active NPI
Alexis Excellent, D.M.D.
- General Practice Dentistry
- Royal Palm Beach, FL
National Provider Identifier
1922420090
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- DN 20571
- Practice address
- 10080 Okeechobee Blvd
Suite 4 & 5
Royal Palm Beach, FL 33411 - Phone
- (217) 540-5100
- NPI assigned
- Jan 9, 2014
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | DN 20571 | FL | Primary |
Addresses
Primary practice location
10080 Okeechobee Blvd
Suite 4 & 5
Royal Palm Beach, FL 33411
Mailing address
10080 Okeechobee Blvd
Suite 4 & 5
Royal Palm Beach, FL 33411
Phone (217) 540-5100
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 |
|---|---|---|---|
| DN 20571 | FL | MD | General Practice Dentistry |
Networks
- Freedom Health HMO Network
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1389225600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1447977600000",
"number": "1922420090",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10080 OKEECHOBEE BLVD",
"address_2": "SUITE 4 & 5",
"city": "ROYAL PALM BEACH",
"state": "FL",
"postal_code": "33411",
"telephone_number": "217-540-5100"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10080 OKEECHOBEE BLVD",
"address_2": "SUITE 4 & 5",
"city": "ROYAL PALM BEACH",
"state": "FL",
"postal_code": "33411",
"telephone_number": "217-540-5100"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EXCELLENT",
"first_name": "ALEXIS",
"credential": "D.M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-01-09",
"last_updated": "2015-11-20",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "FL",
"license": "DN 20571",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Royal Palm Beach, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 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.