Christopher Philip Maly, D.D.S.

Primary specialty

Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X

License

DN24718 Issued in FL

Practice address

168 14TH St SW Ste B
Largo, FL 33770-6103

Phone

(727) 585-5494

Fax

(727) 584-1820

NPI assigned

May 28, 2010

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Opted out of Medicare

Yes, effective Nov 30, 2020 through Nov 30, 2026

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Bay Center for Oral & Implant Surgery, P.a.

  • Oral and Maxillofacial Surgery (Dentist)
  • Largo, FL
  • NPI 1073784872
  NPD (past)
• Ronald H Copenhaver DMD PA

  • Oral and Maxillofacial Surgery (Dentist)
  • St. Petersburg, FL
  • NPI 1871730317
  NPD (past)
• United States Navy

  • Military Hospital
  • Jacksonville, FL
  • NPI 1427328319
  NPD (past)

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

{
    "created_epoch": "1275004800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1675036800000",
    "number": "1083933022",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "168 14TH ST SW STE B",
            "city": "LARGO",
            "state": "FL",
            "postal_code": "337706103",
            "telephone_number": "727-585-5494",
            "fax_number": "727-584-1820"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "168 14TH ST SW STE B",
            "city": "LARGO",
            "state": "FL",
            "postal_code": "337706103",
            "telephone_number": "727-585-5494",
            "fax_number": "727-584-1820"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6700 Crosswinds Dr N Ste 100B",
            "address_purpose": "LOCATION",
            "city": "St Petersburg",
            "state": "FL",
            "postal_code": "337105474",
            "country_code": "US",
            "telephone_number": "727-821-5375",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4338 1st St N Ste C",
            "address_purpose": "LOCATION",
            "city": "St Petersburg",
            "state": "FL",
            "postal_code": "337034900",
            "country_code": "US",
            "telephone_number": "727-822-2228",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MALY",
        "first_name": "CHRISTOPHER",
        "middle_name": "PHILIP",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-05-28",
        "last_updated": "2023-01-30",
        "certification_date": "2023-01-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "FL",
            "license": "DN24718",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ryan Malkiewicz, AU.D
• Ronald Martin Mall, DO
• Rubaiya Mallay, D.O.
• Lesley Mallett, ARNP
• Scott Malone
• Mufit Adam Mamo, MD
• Frances Mandelbaum
• Eleanor Emong Manera, NURSE PRACTITIONER
• Howard Alan Manhoff, MD
• Manila Homecare

• Oral and Maxillofacial Surgery (Dentist) in Largo, FL
• Providers in Largo, FL by specialty
• Oral and Maxillofacial Surgery (Dentist) in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.