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SURGICAL ARTS OF BOCA RATON LLC
NPI 1689171332
Oral & Maxillofacial Surgery in Boca Raton, FL

Active since April 10, 2018
9980 CENTRAL PARK BLVD N STE 113, BOCA RATON, FL 33428(917) 882-5013 Get Directions Write a Review

NPPES record last updated: April 4, 2019. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Apr 4, 2019, Jan 2, 2019, Apr 10, 2018 (3 updates tracked since 2018).

About Surgical Arts Of Boca Raton Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SURGICAL ARTS OF BOCA RATON LLC (NPI 1689171332) is a healthcare organization registered as an oral & maxillofacial surgery in Boca Raton, Florida and active in the NPI registry since April 2018. The organization lists Jason Portnof, President, as its authorized official.

NPPES Registry Identity

NPI1689171332
Entity TypeOrganization
Primary Taxonomy204E00000X
Legal Business NameSURGICAL ARTS OF BOCA RATON LLC
Location Address9980 CENTRAL PARK BLVD N STE 113Boca Raton, FL 33428-1703
Mailing Address9980 Central Park Blvd N Ste 113Boca Raton, FL 33428-1703 · (561) 717-3660 · Fax (561) 717-3650
Phone(917) 882-5013
Organization SubpartNo
Authorized OfficialJason PortnofPresident · (561) 717-3660
Enumeration DateApril 10, 2018
Last NPPES UpdateApril 4, 20193 updates tracked since enumeration
✔ NPI 1689171332 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOral & Maxillofacial SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code204E00000X
Definition
Oral and maxillofacial surgeons are trained to recognize and treat a wide spectrum of diseases, injuries and defects in the head, neck, face, jaws and the hard and soft tissues of the oral and maxillofacial region. They are also trained to administer anesthesia, and provide care in an office setting. They are trained to treat problems such as the extraction of wisdom teeth, misaligned jaws, tumors and cysts of the jaw and mouth, and to perform dental implant surgery.
9980 CENTRAL PARK BLVD N STE 113, Boca Raton, FL 33428
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Surgical Arts Of Boca Raton Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

2

Medicare enrollment records show 2 clinicians reassign Medicare billing to Surgical Arts Of Boca Raton LLC, which bills Medicare for the services they deliver. Of these, 1 practice at this address. They are listed nearest first.

Clinicians, nearest first (2)

Jason Portnof, DMD, MD
Maxillofacial Surgery
NPI 1760613426
9980 CENTRAL PARK BLVD N STE 113
Boca Raton, FL 33428
(561) 717-3660
✔ PECOS✔ Accepts MedicareSame address
Michael London, DMD
Oral Surgery
NPI 1013369438
1051 S STATE ROAD 7 STE 1
Wellington, FL 33414
(561) 790-0206
✔ PECOS20 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Surgical Arts Of Boca Raton LLC's NPI number?

The NPI number for Surgical Arts Of Boca Raton LLC is 1689171332. It was assigned to this organization in the NPPES registry on April 10, 2018.

Where is Surgical Arts Of Boca Raton LLC located?

Surgical Arts Of Boca Raton LLC is located at 9980 Central Park Blvd N Ste 113, Boca Raton, FL 33428. The listed phone number is (917) 882-5013.

What is Surgical Arts Of Boca Raton LLC's specialty?

The primary specialty registered for this NPI is Oral & Maxillofacial Surgery with taxonomy code 204E00000X.

Is Surgical Arts Of Boca Raton LLC enrolled in Medicare?

Yes. Surgical Arts Of Boca Raton LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Surgical Arts Of Boca Raton LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians reassign their Medicare billing to Surgical Arts Of Boca Raton LLC, in Maxillofacial Surgery and Oral Surgery. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Of these, 1 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Surgical Arts Of Boca Raton LLC was last updated on April 4, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.