American Pediatric Dental Boca, Inc

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

AMERICAN PEDIATRIC DENTAL BOCA, INC

Doing business as

American Pediatric Dental Group

Practice address

9181 Glades Rd Ste 120
Boca Raton, FL 33434-3940

Phone

(954) 417-1337

Fax

(954) 998-4750

NPI assigned

Aug 3, 2020

Organization subpart

No

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

Authorized official

Name

Dr. William A Pena, DMD

Title

Owner/Dentist

Phone

(954) 417-1337

Specialties & licenses 1

Addresses

Other names 1

• American Pediatric Dental Group Doing business as

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

{
    "created_epoch": "1596412800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1596412800000",
    "number": "1992315295",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9181 GLADES RD STE 120",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334343940",
            "telephone_number": "954-417-1337",
            "fax_number": "954-998-4750"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9181 GLADES RD STE 120",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334343940",
            "telephone_number": "954-417-1337",
            "fax_number": "954-998-4750"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AMERICAN PEDIATRIC DENTAL BOCA, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-08-03",
        "last_updated": "2020-08-03",
        "certification_date": "2020-08-03",
        "status": "A",
        "authorized_official_last_name": "PENA",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER/DENTIST",
        "authorized_official_telephone_number": "954-417-1337",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "American Pediatric Dental Group",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• American House Calls Physicians LLC
• American Imaging PR Inc
• American in-Home Care, LLC
• American Medical Supplies Inc
• American Neurology and Radiology PA
• American Physicians Testing Services
• American Radiologist Network Inc
• American Radiology Services Banyan Center, LLC
• American Therapeutic Corporation
• Americas Medical Supplies LLC

• General Practice Dentistry in Boca Raton, FL
• Providers in Boca Raton, FL by specialty
• General Practice Dentistry in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 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.