Organization Active NPI

M Cosmetic and Family Dentistry, PA

  • General Practice Dentistry
  • Jupiter, FL
National Provider Identifier
1942635693
Registry record updated Sep 12, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
17690 Issued in FL
Legal business name
M COSMETIC AND FAMILY DENTISTRY, PA
Practice address
425 Greenwich Cir Ste 101-102
Jupiter, FL 33458-4807
Phone
(561) 653-1163
NPI assigned
Sep 12, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 12, 2013

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

Authorized official

Name
Dr. Kenneth Adam Meinbach, DDS
Title
Owner
Phone
(561) 653-1163

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 17690 FL Primary

Addresses

Primary practice location

425 Greenwich Cir Ste 101-102
Jupiter, FL 33458-4807

Mailing address

425 Greenwich Cir Ste 101-102
Jupiter, FL 33458-4807
Phone (561) 653-1163

Other names 1

  • M Dental Cosmetic and Family Dentistry Doing business as

National Provider Directory

National Provider Directory

Locations

425 Greenwich Cir
Ste 101102
Jupiter, FL 33458
Phone (561) 653-1163

Ownership & related parties

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

NPI Registry JSON

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

{
    "created_epoch": "1378944000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1378944000000",
    "number": "1942635693",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "425 GREENWICH CIR STE 101-102",
            "city": "JUPITER",
            "state": "FL",
            "postal_code": "334584807",
            "telephone_number": "561-653-1163"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "425 GREENWICH CIR STE 101-102",
            "city": "JUPITER",
            "state": "FL",
            "postal_code": "334584807",
            "telephone_number": "561-653-1163"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "M COSMETIC AND FAMILY DENTISTRY, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-09-12",
        "last_updated": "2013-09-12",
        "status": "A",
        "authorized_official_last_name": "MEINBACH",
        "authorized_official_first_name": "KENNETH",
        "authorized_official_middle_name": "ADAM",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "561-653-1163",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "FL",
            "license": "17690",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "M Dental Cosmetic and Family Dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Jupiter, FL

Sources for this page

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