Active NPI
Seda Dental of Boca Raton, P.a.
- Periodontics
- Boca Raton, FL
National Provider Identifier
1972019404
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Periodontics
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Kenneth David Rubinstein, DMD
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Periodontics | 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
National Provider Directory
National Provider DirectoryLocations
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.
-
- Periodontics
- Boynton Beach, FL
- NPI 1144380189
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.