Manoel Roberto Macedo, D.D.S., M.S., P.H.D.

Primary specialty

ProsthodonticsTaxonomy code 1223P0700X

License

DN21124 Issued in FL

Practice address

7801 38TH Ave N
St Petersburg, FL 33710-1107

Phone

(727) 345-2064

NPI assigned

Oct 18, 2012

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Dr. Roberto Macedo Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science, Doctor of Philosophy

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.

• Roberto Macedo Dentistry LLC

  • Dentist
  • St. Petersburg, FL
  • NPI 1114456480
  NPD (past)

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

{
    "created_epoch": "1350518400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1164775813",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5659 NAPLES BLVD",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "34109",
            "telephone_number": "239-593-2178",
            "fax_number": "239-213-1500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7801 38TH AVE N",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337101107",
            "telephone_number": "727-345-2064"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MACEDO",
        "first_name": "MANOEL",
        "middle_name": "ROBERTO",
        "name_prefix": "Dr.",
        "credential": "D.D.S., M.S., P.H.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-10-18",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0700X",
            "taxonomy_group": "",
            "desc": "Dentist, Prosthodontics",
            "state": "FL",
            "license": "DN21124",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ROBERTO",
            "last_name": "MACEDO",
            "prefix": "DR.",
            "credential": "D.D.S., M.S., P.H.D.",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Caroline R Maccio
• Courtney Lynne Macdougall, PHARMD
• Brian Thienemann Macdowell, M.D.
• Mace Anthony Williamson Foundation
• Joseph R Mace, MD
• Anthony Macfarland I
• Cameron Macgillivary, PHARMD
• Stacy Mach, RN, IBCLC
• Gilbert A Machaceck, DC DABCO
• Amber Machado, OTA

• Prosthodontics in St Petersburg, FL
• Providers in St Petersburg, FL by specialty
• Prosthodontics in Florida

• 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.