Active NPI
Rafael Llanes
- Dentist
- Lake Worth, FL
National Provider Identifier
1952927295
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- DN25022
- Practice address
- 5516 S State Road 7 Ste 132
Lake Worth, FL 33449-5442 - Phone
- (561) 963-7950
- NPI assigned
- Jun 23, 2020
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Dentist | 122300000X | DN25022 | FL | Primary |
Addresses
Primary practice location
5516 S State Road 7 Ste 132
Lake Worth, FL 33449-5442
Mailing address
5516 S State Road 7 Ste 132
Lake Worth, FL 33449-5442
Phone (561) 963-7950
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 |
|---|---|---|---|
| DN25022 | FL | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1592870400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1592870400000",
"number": "1952927295",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5516 S STATE ROAD 7 STE 132",
"city": "LAKE WORTH",
"state": "FL",
"postal_code": "334495442",
"telephone_number": "561-963-7950"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5516 S STATE ROAD 7 STE 132",
"city": "LAKE WORTH",
"state": "FL",
"postal_code": "334495442",
"telephone_number": "561-963-7950"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LLANES",
"first_name": "RAFAEL",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2020-06-23",
"last_updated": "2020-06-23",
"certification_date": "2020-06-23",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "FL",
"license": "DN25022",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lake Worth, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.