NPIMap

Organization Active NPI

Melvyn E. Nathanson, DDS, PA

  • General Practice Dentistry
  • Boynton Beach, FL
National Provider Identifier
1972689297
Registry record updated May 21, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
008234 Issued in FL
Legal business name
MELVYN E. NATHANSON, DDS, PA
Practice address
11484 Ohanu Cir
Boynton Beach, FL 33437-7031
Phone
(561) 733-9662
NPI assigned
Oct 29, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 21, 2020

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

Authorized official

Name
Dr. Melvyn E Nathanson, DDS
Title
President
Phone
(561) 733-9662

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 008234 FL Primary

Addresses

Primary practice location

11484 Ohanu Cir
Boynton Beach, FL 33437-7031

Mailing address

11484 Ohanu Cir
Boynton Beach, FL 33437-7031
Phone (561) 733-9662

Other identifiers 1

IdentifierTypeStateIssuer
$$$$$$$$$OtherFLSOCIAL SECURITY NUMBER

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1162080000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1590019200000",
    "number": "1972689297",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11484 OHANU CIR",
            "city": "BOYNTON BEACH",
            "state": "FL",
            "postal_code": "334377031",
            "telephone_number": "561-733-9662"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11484 OHANU CIR",
            "city": "BOYNTON BEACH",
            "state": "FL",
            "postal_code": "334377031",
            "telephone_number": "561-733-9662"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MELVYN E. NATHANSON, DDS, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-29",
        "last_updated": "2020-05-21",
        "status": "A",
        "authorized_official_last_name": "NATHANSON",
        "authorized_official_first_name": "MELVYN",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "561-733-9662",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "FL",
            "license": "008234",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SOCIAL SECURITY NUMBER",
            "identifier": "$$$$$$$$$",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Boynton Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 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.