Charyl Weingarten, D.D.S., P.L.L.C

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

CHARYL WEINGARTEN, D.D.S., P.L.L.C

Doing business as

Lino Lakes Family Dentistry

Practice address

591 Apollo Dr
Lino Lakes, MN 55014-3005

Phone

(651) 786-7630

NPI assigned

Mar 12, 2020

Organization subpart

Yes

Parent organization

LINO LAKES FAMILY DENTISTRYAs reported in NPPES

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

Authorized official

Name

Charyl Weingarten, DDS

Title

Owner

Phone

(218) 791-8563

Specialties & licenses 1

Addresses

Other names 1

• Lino Lakes Family Dentistry Doing business as

Part of

Lino Lakes Family Dentistry

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

• Lino Lakes Family Dentistry

  • General Practice Dentistry
  • Lino Lakes, MN
  • NPI 1124262514
  NPPES parent name

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

{
    "created_epoch": "1583971200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1583971200000",
    "number": "1356977136",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "591 APOLLO DR",
            "city": "LINO LAKES",
            "state": "MN",
            "postal_code": "550143005",
            "telephone_number": "651-786-7630"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "591 APOLLO DR",
            "city": "LINO LAKES",
            "state": "MN",
            "postal_code": "550143005",
            "telephone_number": "651-786-7630"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHARYL WEINGARTEN, D.D.S., P.L.L.C",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "LINO LAKES FAMILY DENTISTRY",
        "enumeration_date": "2020-03-12",
        "last_updated": "2020-03-12",
        "certification_date": "2020-03-12",
        "status": "A",
        "authorized_official_last_name": "WEINGARTEN",
        "authorized_official_first_name": "CHARYL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "218-791-8563",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Lino Lakes Family Dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• General Practice Dentistry in Lino Lakes, MN
• Providers in Lino Lakes, MN by specialty
• General Practice Dentistry in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2020; 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.