Active NPI
Lindsey A Reznik, D.M.D.
- Dentist
- Port St Lucie, FL
National Provider Identifier
1164710976
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- DN19494
- Practice address
- 7554 S US Highway 1
Suite 13
Port St Lucie, FL 34952-1450 - Phone
- (772) 343-1762
- NPI assigned
- Jul 13, 2011
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | DN19494 | FL | Primary |
Addresses
Primary practice location
7554 S US Highway 1
Suite 13
Port St Lucie, FL 34952-1450
Mailing address
815 NW Flagler Ave
#305
Stuart, FL 34994-1158
Phone (813) 417-0028
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DN19494 | FL | MD | Dentist |
Networks
- Freedom Health HMO Network
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1310515200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1342656000000",
"number": "1164710976",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "815 NW FLAGLER AVE",
"address_2": "#305",
"city": "STUART",
"state": "FL",
"postal_code": "349941158",
"telephone_number": "813-417-0028"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7554 S US HIGHWAY 1",
"address_2": "SUITE 13",
"city": "PORT ST LUCIE",
"state": "FL",
"postal_code": "349521450",
"telephone_number": "772-343-1762"
}
],
"practiceLocations": [],
"basic": {
"last_name": "REZNIK",
"first_name": "LINDSEY",
"middle_name": "A",
"name_prefix": "Dr.",
"credential": "D.M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-07-13",
"last_updated": "2012-07-19",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "FL",
"license": "DN19494",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Port St Lucie, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.