NPIMap

Individual provider Active NPI

Mark Weiskopf

  • General Practice Dentistry
  • South Pasadena, FL
National Provider Identifier
1104929280
Registry record updated May 13, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DN7764 Issued in FL
Practice address
6882 Gulfport Blvd S
South Pasadena, FL 33707-2108
Phone
(727) 384-9655
NPI assigned
Sep 6, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 13, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X DN7764 FL Primary

Addresses

Primary practice location

6882 Gulfport Blvd S
South Pasadena, FL 33707-2108

Mailing address

2502 N Rocky Point Dr
Suite 1000-Credentialing
Tampa, FL 33607-1421

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Coast Florida P.a. PastSince Jun 22, 2021 Accepting new patients
Coast Florida P.a. Past Accepting new patients
Adam Diasti DDS & Associates P.C. Past Accepting new patients
Oral Health Management PLLC Past Accepting new patients

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1157500800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1399939200000",
    "number": "1104929280",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2502 N ROCKY POINT DR",
            "address_2": "SUITE 1000-CREDENTIALING",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336071421"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6882 GULFPORT BLVD S",
            "city": "SOUTH PASADENA",
            "state": "FL",
            "postal_code": "337072108",
            "telephone_number": "727-384-9655"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEISKOPF",
        "first_name": "MARK",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-06",
        "last_updated": "2014-05-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "FL",
            "license": "DN7764",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in South Pasadena, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2014; 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.