Organization Active NPI

Melvyn Weinstock DDS PHD PLC

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Largo, FL
National Provider Identifier
1447520804
Registry record updated Jan 3, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
License
DN0009925 Issued in FL
Legal business name
MELVYN WEINSTOCK DDS PHD PLC
Practice address
8588 Starkey Rd Ste C
Largo, FL 33777-2831
Phone
(727) 392-7734
Fax
(727) 319-3828
NPI assigned
Jan 3, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 3, 2012

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

Authorized official

Name
Melvyn Weinstock, DDS PHD PLCNPI 1194734293
Title
Owner
Phone
(727) 392-7734

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthodontics and Dentofacial Orthopedics DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223X0400X DN0009925 FL Primary

Addresses

Primary practice location

8588 Starkey Rd Ste C
Largo, FL 33777-2831

Mailing address

8588 Starkey Rd Ste C
Largo, FL 33777-2831
Phone (727) 392-7734

Other identifiers 1

IdentifierTypeStateIssuer
1194734293MedicaidFL

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

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": "1325548800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1325548800000",
    "number": "1447520804",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8588 STARKEY RD STE C",
            "city": "LARGO",
            "state": "FL",
            "postal_code": "337772831",
            "telephone_number": "727-392-7734",
            "fax_number": "727-319-3828"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8588 STARKEY RD STE C",
            "city": "LARGO",
            "state": "FL",
            "postal_code": "337772831",
            "telephone_number": "727-392-7734",
            "fax_number": "727-319-3828"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MELVYN WEINSTOCK DDS PHD PLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-01-03",
        "last_updated": "2012-01-03",
        "status": "A",
        "authorized_official_last_name": "WEINSTOCK",
        "authorized_official_first_name": "MELVYN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "727-392-7734",
        "authorized_official_credential": "DDS PHD PLC"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "FL",
            "license": "DN0009925",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1194734293",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Largo, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 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.

Verify at the official NPI Registry.