Organization Active NPI

Roberto Macedo Dentistry LLC

  • Dentist
  • St. Petersburg, FL
National Provider Identifier
1114456480
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
Legal business name
ROBERTO MACEDO DENTISTRY LLC
Practice address
7801 38TH Ave North
St. Petersburg, FL 33710
Phone
(727) 345-2064
NPI assigned
Jun 8, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Manoel Roberto Macedo, DDS
Title
Owner
Phone
(503) 308-0060

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X Primary

Addresses

Primary practice location

7801 38TH Ave North
St. Petersburg, FL 33710

Mailing address

7801 38TH Ave N
St Petersburg, FL 33710-1107
Phone (727) 345-2064

National Provider Directory

National Provider Directory

Locations

7801 38th Ave N
St Petersburg, FL 33710
Phone (727) 345-2064

Practitioners & affiliated clinicians

Practitioners 3

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

NPI Registry JSON

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

{
    "created_epoch": "1496880000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1114456480",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7801 38TH AVE N",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337101107",
            "telephone_number": "727-345-2064"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7801 38TH AVE NORTH",
            "city": "ST. PETERSBURG",
            "state": "FL",
            "postal_code": "33710",
            "telephone_number": "727-345-2064"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROBERTO MACEDO DENTISTRY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-06-08",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "MACEDO",
        "authorized_official_first_name": "MANOEL ROBERTO",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "503-308-0060",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in St. Petersburg, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.