NPIMap

Organization Active NPI

Jamily F. Pedro, DMD PA

  • General Practice Dentistry
  • Boca Raton, FL
National Provider Identifier
1942633185
Registry record updated Aug 12, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
19518 Issued in FL
Legal business name
JAMILY F. PEDRO, DMD PA
Practice address
7050 W Palmetto Park Rd
Suite 52
Boca Raton, FL 33433-3426
Phone
(561) 394-2592
Fax
(561) 394-3768
NPI assigned
Aug 12, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 12, 2013

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

Authorized official

Name
Mrs. Jamily F Pedro, DMD
Title
Owner
Phone
(508) 939-0312

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223G0001X 19518 FL Primary

Addresses

Primary practice location

7050 W Palmetto Park Rd
Suite 52
Boca Raton, FL 33433-3426

Mailing address

7050 W Palmetto Park Rd
Suite 52
Boca Raton, FL 33433-3426
Phone (561) 394-2592

Other names 1

  • Aqua Dental Loft Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Aqua Dental Loft2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1376265600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1376265600000",
    "number": "1942633185",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7050 W PALMETTO PARK RD",
            "address_2": "SUITE 52",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334333426",
            "telephone_number": "561-394-2592",
            "fax_number": "561-394-3768"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7050 W PALMETTO PARK RD",
            "address_2": "SUITE 52",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334333426",
            "telephone_number": "561-394-2592",
            "fax_number": "561-394-3768"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JAMILY F. PEDRO, DMD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-08-12",
        "last_updated": "2013-08-12",
        "status": "A",
        "authorized_official_last_name": "PEDRO",
        "authorized_official_first_name": "JAMILY",
        "authorized_official_middle_name": "F",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "508-939-0312",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "FL",
            "license": "19518",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Aqua Dental Loft",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Aug 12, 2013; 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.