The Kids Dental Practice

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

Legal business name

THE KIDS DENTAL PRACTICE

Practice address

15065 S State Road 7 Ste 650
Delray Beach, FL 33446-4110

Phone

(561) 840-5437

Fax

(561) 840-1042

NPI assigned

May 7, 2019

Organization subpart

No

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

Authorized official

Name

Shana Capra, DDSNPI 1033518485

Title

Dentist/Owner

Phone

(954) 534-6260

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 2

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

• Shana H Capra, D.D.S

  • Pediatric Dentistry
  • Delray Beach, FL
  • NPI 1033518485
  NPD Authorized official
• Shelly Levin-Rubin, DDS

  • Pediatric Dentistry
  • Boca Raton, FL
  • NPI 1023351715
  NPD (past)

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

{
    "created_epoch": "1557187200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1589328000000",
    "number": "1972168839",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15065 STATE ROAD 7",
            "address_2": "STE 650",
            "city": "DELRAY BEACH",
            "state": "FL",
            "postal_code": "33446"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15065 S STATE ROAD 7 STE 650",
            "city": "DELRAY BEACH",
            "state": "FL",
            "postal_code": "334464110",
            "telephone_number": "561-840-5437",
            "fax_number": "561-840-1042"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE KIDS DENTAL PRACTICE",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-05-07",
        "last_updated": "2020-05-13",
        "certification_date": "2020-05-13",
        "status": "A",
        "authorized_official_last_name": "CAPRA",
        "authorized_official_first_name": "SHANA",
        "authorized_official_title_or_position": "DENTIST/OWNER",
        "authorized_official_telephone_number": "954-534-6260",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "013292400",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Pediatric Dentistry in Delray Beach, FL
• Providers in Delray Beach, FL by specialty
• Pediatric Dentistry in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 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.

Verify at the official NPI Registry.