Organization Active NPI

Seda Dental of Boca Raton, P.a.

  • Periodontics
  • Boca Raton, FL
National Provider Identifier
1972019404
Registry record updated Dec 20, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
PeriodonticsTaxonomy code 1223P0300X
Legal business name
SEDA DENTAL OF BOCA RATON, P.A.
Practice address
6063 SW 18TH St Ste 109
Boca Raton, FL 33433-7118
Phone
(561) 257-1007
NPI assigned
Dec 20, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 20, 2017

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

Authorized official

Name
Dr. Kenneth David Rubinstein, DMDNPI 1144380189
Title
Owner
Phone
(561) 738-9007

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PeriodonticsGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 1223P0300X Primary

Addresses

Primary practice location

6063 SW 18TH St Ste 109
Boca Raton, FL 33433-7118

Mailing address

10075 S Jog Rd Ste 108
Boynton Beach, FL 33437-3532
Phone (561) 738-9007

Other names 1

  • SEDA Dental Doing business as

National Provider Directory

National Provider Directory

Locations

6063 SW 18th St
Ste 109
Boca Raton, FL 33433
Phone (561) 257-1007

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1513728000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1513728000000",
    "number": "1972019404",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10075 S JOG RD STE 108",
            "city": "BOYNTON BEACH",
            "state": "FL",
            "postal_code": "334373532",
            "telephone_number": "561-738-9007",
            "fax_number": "561-738-9963"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6063 SW 18TH ST STE 109",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334337118",
            "telephone_number": "561-257-1007"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SEDA DENTAL OF BOCA RATON, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-12-20",
        "last_updated": "2017-12-20",
        "status": "A",
        "authorized_official_last_name": "RUBINSTEIN",
        "authorized_official_first_name": "KENNETH",
        "authorized_official_middle_name": "DAVID",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "561-738-9007",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223P0300X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, Periodontics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SEDA Dental",
            "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 Dec 20, 2017; 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.