TDC Jupiter Farms, LLC

Primary specialty

DentistTaxonomy code 122300000X

Legal business name

TDC JUPITER FARMS, LLC

Practice address

10156 Indiantown Rd Ste B7
Jupiter, FL 33478-4707

Phone

(561) 743-6700

Fax

(561) 743-9314

NPI assigned

Jun 24, 2019

Organization subpart

No

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

Authorized official

Name

Sean Tomalty, DMDNPI 1033559281

Title

Owner

Phone

(561) 777-8980

Specialties & licenses 1

Addresses

Other names 1

• Dentists of Jupiter Farms Doing business as

Locations

Practitioners 2

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

• Sean Tomalty, D.M.D.

  • Dentist
  • Boynton Beach, FL
  • NPI 1033559281
  NPD (past) Authorized official
• Jordan Tomalty, D.M.D

  • Dentist
  • Boynton Beach, FL
  • NPI 1265603732
  NPD (past)

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

{
    "created_epoch": "1561334400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1561334400000",
    "number": "1972164762",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8794 W BOYNTON BEACH BLVD STE 110",
            "city": "BOYNTON BEACH",
            "state": "FL",
            "postal_code": "334724468",
            "telephone_number": "561-777-8980",
            "fax_number": "561-777-8608"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10156 INDIANTOWN RD STE B7",
            "city": "JUPITER",
            "state": "FL",
            "postal_code": "334784707",
            "telephone_number": "561-743-6700",
            "fax_number": "561-743-9314"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TDC JUPITER FARMS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-06-24",
        "last_updated": "2019-06-24",
        "status": "A",
        "authorized_official_last_name": "TOMALTY",
        "authorized_official_first_name": "SEAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "561-777-8980",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Dentists of Jupiter Farms",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Ana Tapia
• Tasmina Sheikh M D P a
• Tata'S Caring Services LLC
• Rachel W Taylor, APRN
• Shelby Jo Taylor
• TDC Jupiter, LLC
• Meaghan Teague
• Austin Teall, DPT
• Marshall L Teitelbaum, MD
• Taylor Rae Tendrich, DPM

• Dentist in Jupiter, FL
• Providers in Jupiter, FL by specialty
• Dentist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2019; 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.