Organization Active NPI

Anthony N Dardano D O P a

  • Plastic Surgery Physician
  • Boca Raton, FL
National Provider Identifier
1992875587
Registry record updated Dec 10, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Plastic Surgery PhysicianTaxonomy code 208200000X
License
OS7441 Issued in FL
Legal business name
ANTHONY N DARDANO D O P A
Practice address
951 NW 13TH St
Suite 4D
Boca Raton, FL 33486-2359
Phone
(561) 361-0065
Fax
(561) 347-1945
NPI assigned
Nov 9, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 10, 2009

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

Authorized official

Name
Anthony Nicholas Dardano, D.O.NPI 1992744007
Title
President
Phone
(561) 361-0065

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)CodeLicenseStatePrimary
Plastic Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208200000X OS7441 FL Primary

Addresses

Primary practice location

951 NW 13TH St
Suite 4D
Boca Raton, FL 33486-2359

Mailing address

951 NW 13TH St
Suite 4D
Boca Raton, FL 33486-2359
Phone (561) 361-0065

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20070508000156 FL Part B Supplier - Clinic/Group Practice 9638275670 Receives reassigned benefits from 2 practitioners
Practice locations: Boca Raton, FL

National Provider Directory

National Provider Directory

Locations

1000 NW 9th Ct
Ste 102
Boca Raton, FL 33486
Phone (561) 361-0065

Practitioners & affiliated clinicians

Practitioners 38

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

View all 38

NPI Registry JSON

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

{
    "created_epoch": "1163030400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1260403200000",
    "number": "1992875587",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "951 NW 13TH ST",
            "address_2": "SUITE 4D",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334862359",
            "telephone_number": "561-361-0065",
            "fax_number": "561-347-1945"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "951 NW 13TH ST",
            "address_2": "SUITE 4D",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334862359",
            "telephone_number": "561-361-0065",
            "fax_number": "561-347-1945"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANTHONY N DARDANO D O P A",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-09",
        "last_updated": "2009-12-10",
        "status": "A",
        "authorized_official_last_name": "DARDANO",
        "authorized_official_first_name": "ANTHONY",
        "authorized_official_middle_name": "NICHOLAS",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "561-361-0065",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Plastic Surgery",
            "state": "FL",
            "license": "OS7441",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 10, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.