Individual provider Active NPI

Penney Weeks, DMD

  • Dentist
  • Ponte Vedra Beach, FL
National Provider Identifier
1407897630
Registry record updated Jun 1, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
DN14682 Issued in FL
Practice address
228 Ponte Vedra Park Dr
Ponte Vedra Beach, FL 32082-6613
Phone
(904) 285-1990
NPI assigned
Jun 9, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 1, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X DN14682 FL Primary

Addresses

Primary practice location

228 Ponte Vedra Park Dr
Ponte Vedra Beach, FL 32082-6613

Mailing address

228 Ponte Vedra Park Dr Ste 100
Ponte Vedra Beach, FL 32082-6620
Phone (904) 285-1990

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

LicenseStateTypeSpecialty
DN14682FLMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Penney Weeks DMD PA Dentist Current Accepting new patients
Sandpiper Dental PA Dentist Current Accepting new patients
Rd Prabhu-Lata K Shete MDS LTD Past Accepting new patients
Rd Prabhu-Lata K Shete MDS LTD 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": "1149811200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1306886400000",
    "number": "1407897630",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "228 PONTE VEDRA PARK DR STE 100",
            "city": "PONTE VEDRA BEACH",
            "state": "FL",
            "postal_code": "320826620",
            "telephone_number": "904-285-1990"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "228 PONTE VEDRA PARK DR",
            "city": "PONTE VEDRA BEACH",
            "state": "FL",
            "postal_code": "320826613",
            "telephone_number": "904-285-1990"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEEKS",
        "first_name": "PENNEY",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-09",
        "last_updated": "2011-06-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "FL",
            "license": "DN14682",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ponte Vedra Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 1, 2011; 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.